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Category: Post-Acute Care

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Hospitals to Provide Skilled Nursing Quality Data at Discharge per New Rule

On September 29, 2019, CMS finalized a new rule focusing on the seamless exchange of patient information between health care settings by revising the discharge planning requirements that Hospitals and Home Health Agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs. According to CMS’s Seema Verna, the final rule does not change […]

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The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F)

The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F) was published on September 26, 2019.  This rule finalizes the following provisions that were in the proposed rule changes.  The final rule will be published in the federal register on September 30, 2019.  The effective date for these regulation changes are November 29, 2019. The […]

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Blue & Co. PDPM HIPPS Rate Calculator

This calculator will compute the wage index adjusted individual daily rate and the cumulative total based upon paid SNF PDPM I/P Part A Medicare paid days for fiscal year 2020. The cumulative rate calculator takes into account the variable per diem adjustment for the Physical and Occupational Therapy (PT/OT) and the Non-therapy Ancillary (NTA) payment. […]

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CMS Updates Posted on August 30, 2019

In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. Visit CMS’s website for a variety of educational and training resources […]

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CMS Final Rule under PPS for SNFs for FY 2020

CMS issued a proposed rule on July 30, 2019, with updates to the Patient-Driven Payment Model (PDPM), Quality Reporting Program (QRP), and the Value Based Purchasing Program  (VBP) for fiscal year 2020 ( beginning on 10/1/19 and ending on 9/30/20). See here for the final rule. The final rule was published in its official form […]

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CMS Update July 16, 2019

On July 16, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a Proposed Rule to reform the Medicare and Medicaid long-term care requirements that would provide changes and delay certain features of the Requirement of Participation (RoP). Additionally, CMS finalized a rule allowing nursing home operators to use arbitration agreements. CMS provides that the […]

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Webinar Recording: Optimal Opportunities in PDPM

Ever-changing regulations have brought new challenges and opportunities to Skilled Nursing Facilities. In this webinar, we explore key changes that are occurring and how to transform challenges into opportunities. Areas Explored: Quality Impacts PDPM Optimal Reimbursement ICD-10 Coding Critical Expertise Click here to view the recording. Click here to download the slides. If you have […]

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New Requirements for Indiana Skilled Nursing and Assisted Living Facilities

A new Indiana law effective July 1, 2019, requires additional written disclosures and care planning to prospective residents. The law requires that health facilities provide a written disclosure to each prospective resident containing: Information concerning the Indiana Long-Term Care Ombudsman Program. Information on how to contact the Indiana Long-Term Care Ombudsman. Information on how to […]

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CMS Proposed Rule for Updates to PDPM, QRP, & VBP for FY 2020

CMS issued proposed rule on April 25, 2019, with updates to the Patient-Driven Payment Model (PDPM), Quality Reporting Program (QRP), and the Value Based Purchasing Program  (VBP) for fiscal year 2020 (beginning on 10/1/19 and ending on 9/30/20). Click here to read the full proposed rule. Comments on the proposed rule must be received by […]

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Indiana Sales Tax Changes for Nonprofits

By: Angela Crawford, CPA, Senior Manager The recently enacted Senate Enrolled Act (SEA) 382 (2022) makes significant changes in the way not-for-profit organizations purchase and sell items exempt from sales tax. Sales tax information Bulletin 10 has been revised to reflect these changes. While sales tax-specific changes are detailed within the bulletin, here are the […]

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Facility Emergency Department Leveling | Stethoscope laying on top of financial reports | Blue & Co., LLC

Is Your Current Facility Emergency Department Leveling Process Working?

Blue & Co. has performed many Emergency Department Leveling Reviews for hospitals. The two most utilized leveling criteria are “points-based” or “intervention-based.” In either case, each hospital must determine which facility resources (or attributes) to include within its criteria, and how these resources crosswalk into ED visit levels (99281-99285). This can create significant reimbursement differences […]

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Cybersecurity in the Construction Industry

Cybersecurity in the Construction Industry

By: Tom Skoog, Cybersecurity & Data Management Practice Leader Cybersecurity for the construction industry is a growing challenge. The industry is moving towards digital connectivity, not only across the supply chain, but also ‘on site’ as more metrics related to performance, progress, and health & safety are monitored in ‘real time’. This increase in connectivity […]

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