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CMS announced a three-year quality improvement initiative in a press release on November 20, 2018. The Civil Money Penalty Reinvestment Program (CMPRP) aims to improve residents’ quality of life by equipping nursing home staff, administrators, and stakeholders with technical tools and assistance to enhance resident care. The CMPRP is funded by federal civil money penalties, which are fines nursing homes must pay CMS by law when they are noncompliant with certain regulations and there are serious concerns about the safety and quality of care they provide. The annual per-beneficiary incurred expense amounts are now known as the KX modifier thresholds. These amounts were previously associated with the financial limitation amounts that were more commonly referred to as “therapy caps” before the application of the therapy limits/caps was repealed when the Bipartisan Budget Act of 2018 (BBA of 2018) was signed into law. Given an opportunity to provide insights about Medicare regulatory requirements that are burdensome, many in the home health industry pointed to tub baths currently being an aide competency requirement under the revised Home Health Conditions of Participation (CoPs). The new version of the Hospice Item Set (HIS) manual — V2.01 — is now available. CMS will hold its next HHCAHPS vendor update webinar training session from noon to 2 p.m. EST Feb. 1. Online registration will be available in early December. New in the November issue of PPS Alert for Long-Term Care... Medicare billing: 'Tis the season for SNF leaves of absence, are you prepared? In preparing for the holiday festivities, it is essen-tial for friends and family to understand that even if their loved ones are in a nursing home or skilled nursing facility (SNF), they can still partake in the holiday parties and goodie exchanges without put-ting their Medicare coverage at risk. Identifying the specific effects that a beneficiary’s leave of absence (LOA) can have on billing has long been hazy territory for SNFs, however, as they some-times confuse Medicare’s consolidated billing (CB) requirements with internal definitions and policies they’ve developed for a beneficiary’s temporary exit from the facility. Not a subscriber? Sign up here. Monthly In-Service: December issue of CNA Training Advisor Range of motion and positioning Click here to receive a new lesson plan every month, including course materials, a 4-page in-service, and a quiz targeted to address the unique needs, interests, and concerns of CNAs. Education and Training Tools Home Health Payment Rule: PDGM Is Coming Identifying and Preventing UTIs in Long-Term Care Home Health Administrator's Summit, May 15-17, 2019 - Las Vegas | | Product Spotlight At HCPro, we help your organization make faster, better decisions by connecting your challenges and questions to an unrivaled network of experts, resources, and solutions. With a shared-cost membership, you can expect world-class thinking and advice without having to worry about the meter running or expensive consulting fees. An all-encompassing offering, PROPELAdvisory Services is available in six domains, with more on the way. Our growing family includes memberships in Medicare, long-term care, clinical documentation improvement, medical staff, coding, and revenue cycle management. Click here to learn more, or contact us at: 615-724-7213 | advisoryservices@hcpro.com |
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