MDS

'Serious' CMS oversight should compel providers to be duly vigilant about compliance, expert says

'Serious' CMS oversight should compel providers to be duly vigilant about compliance, expert says  By

Skilled nursing providers should ratchet up Medicare Part A compliance initiatives to meet the increasingly intense scrutiny of the Centers for Medicare & Medicaid Services, a compliance expert said in a McKnight's Super Tuesday webcast. "CMS is serious about this," said Leah Klusch, executive director of The Alliance Training Center.

MDS update will expand use of modifications to make changes

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The Minimum Data Set manual will be revised to reflect a new correction policy, the Centers for Medicare & Medicaid Services recently announced.

Ask the payment expert ... about matching diagnoses codes

Ask the payment expert ... about matching diagnoses codes By

How important is it that diagnoses coded in Section I of the MDS match what is being billed on the UB-04?

The easy way to get LTC experts into your office

The easy way to get LTC experts into your office By

Nobody should pass up the opportunity to have a nationally respected professional expert visit his or her office. The chance to get six in there in a short amount of time? Outrageous. Yet, it's going to happen.

I couldn't live without ... COMS Interactive nursing assessments and data monitoring

I couldn't live without ... COMS Interactive nursing assessments and data monitoring

Comprehensive nursing assessments and data monitoring tools from COMS Interactive provide critical help to the CommuniCare Family of Companies, according to Chief Medical Officer Matthew Wayne, M.D.

A new way to save face

A new way to save face By

When is face-to-face contact with a resident not such a good idea? When an avatar can do better. That's just one lesson researchers like Timothy Bickmore, Ph.D., are proving. Bickmore is an assistant professor in the College of Computer and Information Science at Northeastern University.

CMS seeks operator input regarding skilled nursing facility therapy payment changes

CMS seeks operator input regarding skilled nursing facility therapy payment changes By

The Centers for Medicare & Medicaid Services is encouraging provider input as it seeks to change the payment system for therapy provided by skilled nursing facilities.

Ask the payment expert ... about inaccurate MDS therapy information

Ask the payment expert ... about inaccurate MDS therapy information By

What happens if my therapy company makes an error on the MDS and as a result, a change of therapy was missed? Are we still responsible?

Team TSI partners with AIS

Team TSI and AIS recently announced a partnership that will result in greater product organization between the two firms. Both firms create web-based software for long-term care operators. Under the partnership, the AIS product will work directly with Team TSI's MDS Analyzer.

PointClickCare buys Accu-Med

PointClickCare has completed its acquisition of Accu-Med Services. Accu‐Med delivers integrated financial and clinical software solutions for long-term care providers.

Will the MDS ever go away?

Will the MDS ever go away?

As the industry moves from fee-for-service to the episodic world of care, much emphasis has been placed on understanding how payment systems work over the past couple of decades. This view evaluates outcomes at the close of an episode, before the checks get cut.

Examine residents' incontinence records, MDS expert advises

Examine residents' incontinence records, MDS expert advises

Overcoding or undercoding incontinence in the MDS 3.0 is a problem that can draw the attention of surveyors, says McKnight's Super Tuesday speaker Leah Klusch.

AHCA will incorporate PointRight's rehospitalization metric into its Quality Initiative

AHCA will incorporate PointRight's rehospitalization metric into its Quality Initiative

PointRight combines Minimum Data Set 3.0 data and unique analytics to calculate case-mix adjusted hospital readmission rates.

CMS issues meaningful use final rule and offers RAI manual update timeline

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Regulators have released the final rule that outlines criteria hospitals and other providers must meet to receive funding for a federal electronic health-record incentive program.

What color is your discus?

What color is your discus? By

Let's be honest with each other. I made a bad career choice, and so did you. We should have been Olympic discus throwers. What were we thinking?

Rehab reimbursement and audits the focus of July Super Tuesday webcast

Rehab reimbursement and audits the focus of July Super Tuesday webcast By

Nursing home administrators who can't back up every minute of rehab therapy delivered in their building leave themselves open to auditing, warns an MDS 3.0 expert during the July 10 McKnight's Super Tuesday webcast. Every skilled nursing facility billing minutes to rehab services must be able to verify that he or she has read all of the updates to the RAI Manual, as well as all of the changes that took effect April 1, adds Leah Klusch, RN, BSN, FACHA. That and much more was discussed during the free webcast, which remains available for viewing in an online archive for a year.

In defense of the Chaos Muppet

In defense of the Chaos Muppet  By

Muppet theory can change the way we view business, and today is brought to you by the letters L, T and C.

Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems

Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems   By

There's a familiar saying in the industry that "If it's not documented, then it's not done." But what if it is documented, but just not documented correctly?

CMS: Providers caught skipping resident interviews for new evaluations

CMS: Providers caught skipping resident interviews for new evaluations

Skilled nursing operators must complete resident interviews for MDS 3.0 evaluations, a Centers for Medicare & Medicaid Services official reminded providers Thursday on a national conference call.

Final Super Tuesday webinar on MDS 3.0 to be held tomorrow

Final Super Tuesday webinar on MDS 3.0 to be held tomorrow

Is your facility scrambling to stay on top of possible Medicare changes with MDS 3.0? Let McKnights' last 2011 Super Tuesday webinar, "Keeping pace with the MDS 3.0," get you up to speed.

CMS did more than 'just' cut Medicare pay by 11.1%

CMS did more than 'just' cut Medicare pay by 11.1% By

Have you started your COT trending analysis? On Aug. 8, the Centers for Medicare & Medicaid Services released the final ruling and commentary for the new implementation of the MDS changes set to take effect on Oct. 1. Of these many changes, I believe the most significant will be with the Change of Therapy OMRA.

Putting quality to the test

Putting quality to the test By

When it comes to embracing quality, long-term care operators are making great strides. Most seem to realize that many of the old ways of getting the job done don't cut it anymore.

Ask the legal expert: Legal concerns for MDS and RUG-IV

Ask the legal expert: Legal concerns for MDS and RUG-IV By

John Durso, Esq. Ungaretti & Harris LLP

CMS conference call Wednesday to focus on RUG-IV, MDS 3.0

The Centers for Medicare & Medicaid Services will host a conference call Wednesday to discuss the Skilled Nursing Facility Prospective Payment System Resource Utilization Group-Version 4 (RUG-IV).

Regulators gear up for special mandatory broadcast on MDS 3.0

The first of three satellite broadcasts by federal regulators on the new Minimum Data Set 3.0 will take place from 1 p.m. to 2 p.m. (Eastern Time) Thursday. Officials with the Centers for Medicare & Medicaid Services will give a wide-ranging introduction of the new assessment tool, which is on track to go into effect Oct. 1.

New MDS flu guidance for nursing facilities

The Centers for Medicare & Medicaid Services has issued new MDS coding guidance for skilled nursing facilities for the upcoming flu season.

New CMS rule to eliminate section of MDS, revise RUGs

New CMS rule to eliminate section of MDS, revise RUGs

A controversial new rule from the Centers for Medicare & Medicaid rule will recalibrate Medicare case mixes under the Resource Utilization Group (RUG) system. Specifically, it will eliminate a section of the Minimum Data Set (MDS) and change the RUG classification process for short-stay residents.

Healthcare officials eliminate nursing home assessment protocols

Healthcare officials eliminate nursing home assessment protocols

It's a wrap on RAPs. Resident Assessment Protocols (RAPs) will be eliminated under a new assessment regimen in development, an official with the Centers for Medicare & Medicaid Services announced on Thursday.

CMS issues new MDS 3.0 schedule -- and quickly recalls it

CMS issues new MDS 3.0 schedule -- and quickly recalls it

The Centers for Medicare & Medicaid Services last week posted on its Web site a new schedule for the planned October 2010 rollout of the new MDS 3.0. But the agency quickly removed it the same day.

DAY ONE: McKnight's third annual Online Expo to kick off with webcasts on technology, wound care and payment

DAY ONE: McKnight's third annual Online Expo to kick off with webcasts on technology, wound care and payment

The third annual online trade show for the long-term care field starts today with a whole range of educational webcasts and virtual vendor booths. It's not too late to register for the two-day event at www.mcknights.com/expo.

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