Last year, Hurricane Irma knocked out power to a nursing home in Hollywood, Florida. Without a functioning generator, 14 residents died. According to CBS News, Gov. Rick Scott is warning facilities to prepare in order to avoid a similar tragedy. an MLN Matters article issued on October 5, 2018, CMS described systems changes they made to ensure SNFs and swing beds bill Occurrence Code 22 correctly. It also ensures the same benefit period logic used for SNF claims is used for swing bed claims. A former Mississippi hospice owner Charline Brandon has pleaded guilty to making fraudulent hospice claims. A recent New York Supreme Court ruling has further muddied the waters around the practice of paying live-in caregivers in the state for 13 hours a day. CMS’ final rule, effective in October 2019, is a major overhaul for the long-term care industry, including SNFs. To survive, stakeholders must understand how reimbursement will work and how their facilities will need to function. While the backlog of home health appeals at the Administrative Law Judge level is steadily being chipped away, data show a low reversal rate for appeals. New in the October issue of PPS Alert for Long-Term Care... Op ed: Are post-acute, site-neutral payments the future? In the 2019 OPPS (outpatient PPS) proposed rule, CMS in-cluded a site-neutral payment provision. With the comment period closed, and the lobbying against such a provision fierce, it will be interesting to see where CMS lands in terms of the final OPPS rule: Will they maintain, change, or abate? The one thing that is for certain, regardless of the fate of this provision, is that site-neutral proposals/provisions are advancing. Not a subscriber? Sign up here. Monthly In-Service: October issue of CNA Training Advisor Seizures and Strokes 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 SNF Final Rule: Prepare for PDPM Attend the Private Duty National Conference & Expo Implementing an Effective Dementia Program in Long-Term Care | | 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 | [email protected] |
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