Post-Acute Advisor

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SNF found not guilty for resident death, but must pay for pain and suffering

Christine Mitchell, a SNF resident, suffered a brain injury following a fall when an aide rolled her off her bed. Mitchell has already been in poor health when she died a month after the fall in 2015.

Home health: CMS FAQs discuss RCD’s financial impact on beneficiaries

In newly posted frequently asked questions (FAQs) about the Review Choice Demonstration (RCD), CMS provides details about what financial impact beneficiaries will face if an agency provides care but never receives provisional affirmation.

Physical health of seniors correlate with both cognitive function and mental health

A new study in the American Journal of Geriatric Psychiatry of a continuing care senior housing community (CCSHC) found that the physical health of seniors correlated with their cognitive function and their mental health. Cognitive function was significantly associated with physical mobility, satisfaction with life, and wisdom, whereas physical health was associated with age, self-rated physical functioning, mental well-being, and resilience.

Home health agency owner gets seven-year prison sentence for $8.3 million Medicare scheme

The owner of a Michigan home health agency is expected to serve prison time for the role he played in a scheme that defrauded Medicare of about $8.3 million.

Reminder: Medicare filing requirements and how to submit and code claims

The 837I (Institutional) is the standard format used by institutional providers to transmit health care claims electronically. The Form CMS-1450, also known as the UB-04, is the standard claim form to bill Medicare Administrative Contractors (MACs) when a paper claim is allowed. In addition to billing Medicare, the 837I and Form CMS-1450 may be suitable for billing various government and some private insurers.

New in the May issue of PPS Alert for Long-Term Care...

EPA's final rule on pharmaceutical waste material effective August 21

The EPA published its final rule, Management Standards for Hazardous Pharmaceuticals, earlier this year—giving healthcare facilities, including long-term care facilities, just a handful of months to comply with the rule, which goes into effect August 21, 2019.

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Monthly In-Service: May issue of CNA Training Advisor

Bathing hesitant residents

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

MDS 2019 Updates and PDPM Implications

Home Health PPS Benchmarks, 2019

Improving Revenue Integrity Under PDPM

ICD-10-CM Wound Coding & OASIS Field Guide, 2019

Product Spotlight

[FREE QUESTIONNAIRE] 10 Questions for Projecting Revenue at Admission Under PDPM

What will your revenue and expenses look like for a Medicare Part A resident admitted under PDPM?

The release of this exclusive Patient Driven Model Payment (PDPM) questionnaire will serve as an essential tool for you to estimate the revenue and expenses of a Medicare Part A resident admitted under this new case-mix classification model. October 1, 2019 will mark the first day that the new model will be implemented under the Skilled Nursing Facility Prospective Payment System.

In this FREE questionnaire, explore factors that might impact you such as:

Resident risks
Costly drug prescriptions
Equipment purchases
And more!

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