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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 to assist stakeholders in preparing for PDPM implementation, including resources on:

  • Administrative Level of Care Presumption under the PDPM
  • PDPM Payments for SNF Patients with HIV/AIDS
  • Concurrent and Group Therapy Limit (revision posted 8-30-19)
  • PDPM Functional and Cognitive Scoring (revision posted 8-30-19)
  • Interrupted Stay Policy (revision posted 8-30-19)
  • MDS Changes (revision posted 8-30-19)
  • NTA Comorbidity ScorePDPM Patient Classification (revision posted 8-30-19)
  • Variable Per Diem Adjustment

If you have questions or concerns, please contact us.

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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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Occupational Mix Survey: What You Need to Know

Every three years, the Centers for Medicare and Medicaid Services (CMS) requires any Hospital that is subject to the Inpatient Prospective Payment System (IPPS) to complete an Occupational Mix Survey (OMS). This data is then used to calculate an Occupational Mix Adjustment Factor (OMAF). The occupational mix adjustment impacts a hospital’s average hourly wage and […]

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