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Category: Post-Acute Care

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FY 2023 PDPM SNF PPS Calculator is Now Available

It has been a month since regulation for the Centers for Medicare and Medicaid Services (CMS) Fiscal Year (FY) 2023 Skilled Nursing Facility Prospective Payment System (SNF PPS) rates went into effect. In the final rule CMS put in place a 4.6% PDPM (Patient-Driven Payment Model) parity adjustment to reduce overall spending to a budget-neutral […]

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Five-Star Quality Rating System: Changes Your Nursing Facility Needs to Know

On July 7, 2022 the Center for Medicare and Medicaid Services (CMS) released the updated Nursing Home Five-Star Quality Rating Technical Users’ Guide with the methodology for the changes to the Staffing Rating and the Overall Quality Rating. Here is what your facility needs to know. Changes to the Staffing Rating CMS is basing the […]

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Proposed Rule FY 2023 for Skilled Nursing Facilities

It is that time of year again! The Center for Medicare and Medicaid Services (CMS) has issued the proposed rule that would update Medicare payment policies and rates for the fiscal year (FY) 2023’s Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Patient Driven Payment Model (PDPM) was implemented on October 1, 2019. This […]

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Technical Users’ Guide for the Care Compare Nursing Home Updates

On January 14, 2022, Centers for Medicare & Medicaid Services updated the Technical Users’ Guide for the Care Compare Nursing Home Five-Star Quality Rating System. While this information will be publicly reported starting in January, it will not be used in the Five-Star Quality Rating System until July 2022. Here is what you need to […]

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On-Demand Webinar: COVID-19 Vaccine Mandate in the Workplace

President Biden’s administration recently announced its Path Out of the Pandemic action plan which included specific guidance around a COVID-19 vaccine mandate. The action plan calls for employers with 100 or more employees to require employees to be vaccinated or submit to weekly tests, as well as requiring vaccinations for federal employees, contractors, and hospitals […]

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Skilled Nursing Facilities Vaccine Mandate

Last week there were two new rules issued by the Biden administration regarding vaccine mandates. The Center for Medicare and Medicaid Services (CMS) released an interim final rule (IFR), along with the Emergency Temporary Standards released by the Occupational Safety and Health Administration (OSHA). Providers Involved: Ambulatory Surgical Centers Hospice Agencies Psychiatric Resident Treatment Facilities […]

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Consolidated Billing: New HCPCS Codes for SNFs

New HCPCS codes related to consolidated billing for Skilled Nursing Facilities goes into effect, Oct. 1, 2021. CMS states that this will impact any SNF that “bill Medicare Administrative Contractors (MACs) for services provided to Medicare patients in a covered Part A stay in a SNF.” The full list of code changes are included below […]

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F887 Tag: Procedures Your Organization Need

Last week the Center for Medicare Services (CMS) posted an interim final rule and Memo QS0-21-19-NH for infection control requirements for long-term care. These regulations go into effect on May 21, 2021. Do you have policies and procedures in place to avoid the F887 Tag? Memo QS0-21-19-NH Memo QS0-21-19-NH states that long term care facilities […]

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Skilled Nursing Facilities CMS Proposed Rule for 2022

The Centers for Medicare and Medicaid Services (CMS) released the proposed rule for fiscal year (FY) 2022 that would update Medicare’s prospective payment system (PPS) rates for skilled nursing facilities (SNFs). CMS estimated that the proposal would impact payment to skilled nursing facilities (SNFs) Medicare Part A as an increase of around $444 million dollars […]

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Physician Fee Schedule: 2023 CMS Final Ruling

The Centers for Medicare & Medicaid Services (CMS) operates within a budget neutral approach. This occurs at the same time the healthcare community continues to try and find balance between reducing administrative burdens, accurately recognizing and recording services provided, and upholding the highest quality care possible. Over the last three years, there have been significant […]

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Blue & Co., LLC acquires Alerding CPA Group

Blue & Co., LLC acquires Alerding CPA Group

Carmel, Ind. (November 23, 2022) – The accounting and consulting firms of Alerding CPA Group (Indianapolis, Ind.) and Blue & Co., LLC (Carmel, Ind.) have announced their merger. The combined firm will operate as Blue & Co., LLC (Blue & Co.), effective December 1, 2022. This acquisition will provide Blue & Co. with greater market […]

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Not-for-Profit Single Audit Requirements – Evaluation of Revenue Sources

By: Holly Fields, CPA, Senior Manager Not-for-profit organizations (NFPs) that receive federal financial assistance over certain levels, either directly from a federal agency or indirectly through state or local agencies, may be required to have a single audit performed under Federal Uniform Guidance. Single Audit Requirements A single audit includes not only an audit of […]

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