Civil monetary penalties to fund new CMS quality improvement initiative

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Civil monetary penalties to fund new CMS quality improvement initiative

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.


KX modifier amounts announced for CY19

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amounts that were more commonly referred to as “therapy caps” before the application of the therapy limits/caps was repealed when the Bipartisan Budget Act of 2018 (BBA of 2018) was signed into law.


Home health industry asks CMS to wash away challenging bathing requirement

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).


New version of HIS manual is now available

The new version of the Hospice Item Set (HIS) manual — V2.01 — is now available.


CMS to hold HHCAHPS vendor training

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.


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Monthly In-Service: December issue of CNA Training Advisor


Range of motion and positioning

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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



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