Post-Acute Advisor

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Tip: Defend against new targeted probe by scrutinizing therapists’ documentation

Conduct a quality audit of documentation your therapists submit. CMS’ targeted probe-and-educate review is ongoing, and it’s clear that therapy and therapists’ documentation will be among the things Medicare Administrative Contactors (MACs) review.

Announcing HCPro’s newest service: PROPELLong-Term Care

From mitigating legal and resident safety risks to driving compliance and growth amid constant unpredictability, the challenges faced by modern long-term care leaders are too numerous, varied, and complex to fit within the confines of any single book or brainstorming session.

CMS proposal could place limits on filling opioid prescriptions for Medicare beneficiaries

New strategies to combat opioid overuse in seniors proposes placing limits on the amount of morphine milligram equivalent (MME) that a pharmacy can prescribe, as well as the prescription length, according to a call letter released by CMS last week.

Special open door forum: New Medicare card project, February 6

CMS will hold a special open door forum to discuss the new Medicare card project on Tuesday, February 6, 2:00pm – 3:00pm, ET.

Training strategies to help the business office overcome common collections challenges

There are strategies you can implement to help overcome common collections challenges. Becky Ziviski, CEO of Profit Without Census, knows—because she’s been there.

HQRP fiscal year 2020 requirements fact sheet, quarterly update available

This fact sheet outlines specific compliance requirements for Hospice Item Set (HIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) for the Fiscal Year 2020 reporting year (data collection period 1/1/18 -12/31/18), to support providers in compliance with HQRP requirements.

Revised SNFABN mandatory for use beginning May 7, 2018

CMS is releasing a newly revised skilled nursing facility advanced beneficiary notice (SNFABN) along with newly developed, concise and separate instructions for form completion.

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

Are you up to speed on the new evaluation and reevaluation codes?

On January 1, 2017, two significant changes went into effect in the therapy world:The Centers for Medicare & Medicaid Services (CMS) eliminated physical therapy (PT) and occupational therapy (OT) evaluation codes 97001 and 97003 and replaced them with three new tiered evaluation codes that contain descriptors based on the resident’s level of complexity (low, moderate, and high); and PT and OT reevaluation codes 97002 and 97004 were replaced with new CPT® codes.

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Monthly Inservice: Survey preparation

Click here to subscribe to CNA Training Advisor and 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.

Simplified Compliance: Education and Training Tools

Learn how to analyze your quality measures data to increase performance

CMS estimates that this area of compliance will cost home health agencies the most in new CoP

An interdepartmental collaboration you must have in your facility

Understanding phase 2 requirements for survey readiness

Product Spotlight

Long-Term Care Administrator's Boot Camp

The Long-Term Care Administrator’s Boot Camp offers skilled nursing facility administrators a review of Medicare regulations and best practices for ensuring the provision of high-quality services, resident satisfaction, quality survey outcomes, and proper payments. Specifically, The Long-Term Care Administrator’s Boot Camp focuses on how Medicare regulations guide clinical and financial operations, and explains the role of the administrator in admissions, documentation, MDS, billing, coding, compliance and ethics, and quality improvement.

This includes how to delegate appropriately, build the necessary infrastructure of quality improvement teams, analyze each facility’s resident population needs and risks, and implement effective systems and processes to achieve regulatory compliance. Administrators can expect to learn how to lead and manage facilities to regulatory compliance and to avoid survey issues, claims audits, and improper Medicare payments.

Upcoming CMS Events

Tuesday, February 13, 1:30pm-3:00pm, ET - Low Volume Appeals Settlement Option Call

Wednesday, February 21 from 11am-12:30pm, ET, or Thursday, February 22, 3:30pm-5pm, ET - What’s New with Physician Compare Webinar

Wednesday, February 21, 3:00pm-4:30pm, ET, or Wednesday, March 7, 3:00pm-4:30pm, ET - Comparative Billing Report on Opioid Prescribers Webinar

Thursday, February 22, 1:00pm-2:00pm, ET - ESRD QIP: Final Rule for CY 2018 Call

Tuesday, March 6, 2:00pm-3:30pm, ET - Home Health Review and Correct Reports Webinar

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