Thought Leadership

When it comes to thought leadership and staying informed, we’ve got you covered. See below for recent articles, webinars, and downloadable resources available.

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Skilled Nursing Facilities

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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Pepper Report and 5 Star Ratings

PEPPER Report and 5 Star Ratings: Why Your Long-Term Care Facility Should Care

Monitoring data in long term care can be the key to success. Five Star Ratings and PEPPER Reports are two data sources your organization needs to review to stay on top of industry changes. The Centers for Medicare & Medicaid Services (CMS) recently released revisions to the 5 Star Technical Users’ Guide, and with the […]

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Post-acute care hot topics for 2021

Post-Acute Care: Hot Topics Leading 2021

Skilled nursing facilities are under intense pressure with all the new reporting requirements. Vaccinations, testing, PDPM, Quality Measures, Quality Reporting Program (QRP), staffing and infection control surveys are just a few of the items skilled nursing facilities are having to juggle these days. The only constant is change and the need to stay informed on […]

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Blue & Co.'s December 2020 Webinars | Free webinars | Financial services and consulting | PPP | Paycheck Protection Program Webinar | Manufacturing Webinars | Cybersecurity Webinars

Blue & Co. December 2020 Webinars

It’s webinar season at Blue & Co., LLC.! Check out all of our upcoming events for the week of December, 14. Monday, December 14 Panel Discussion Regarding Paycheck Protection Program (PPP) Webinar – Free to attend On Monday, December 14 from noon – 1 p.m. EST, Blue & Co., LLC will be hosting a panel […]

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Outpatient Therapy | WellSky Webinar: Hospital Outpatient Therapy: A Patient-Centric Way to Grow Revenue

On Demand Webinar: Hospital Outpatient Therapy: A Patient-Centric Way to Grow Revenue

Outpatient physical therapy programs are often overlooked in the hospital. However, there are several opportunities to increase access to care for patients and increase revenue for the hospital in outpatient therapy. Believe it or not, there are still opportunities for charge capture in this area, along with some basic “blocking and tackling” operational issues. New […]

Learn More
PAC News

Skilled Nursing Facilities PPS FY 2021 Final Rule Summary

Centers for Medicare & Medicaid Services (CMS) issued a final rule [CMS-1737-F] for Fiscal Year (FY) 2021 that updates the Medicare payment rates and the value-based purchasing program for skilled nursing facilities (SNFs). Effective October 1, 2020 under the PPS Patient- Driven Payment Model (PDPM). Federal Based Rates Updates to Payment Rates Under PPS Case-mix […]

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PAC Billing Codes

Denied Claims due to Billing Codes

A new issue is affecting some inpatient hospital and Skilled Nursing Facility (SNF) claims when an interrupted stay is billed at the end of the month. The system incorrectly assigns edits U5601-U5608 (overlapping a hospital claim). If you billed the interrupted stay correctly, and your claim is rejected, modify your billing so the claim spans […]

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CMS ends staffing waiver

CMS has ended the waiver of Staffing Data

Effective Immediately: the CMS has made updates to the Nursing Home Compare Website and Five Star Quality Rating System. Under the COVID-19 Emergency Declaration Blanket waiver, CMS waived the requirements for submitting staffing data to the Payroll-Based Journal database (PBJ). CMS is ending this waiver and facilities are required to resume submission of staffing data […]

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SNF Proposed Payment and Policy Changes for FY 2021

SNF Proposed Payment and Policy Changes for FY 2021

On April 10, CMS issued a proposed rule [CMS-1737-P] for FY 2021 that updates the Medicare payment rates and the quality programs for Skilled Nursing Facilities (SNFs). This proposed rule is part of CMS’s continuing efforts to strengthen the Medicare program by better aligning payment rates for these facilities with the costs of providing care […]

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HHS Announces $4.9 Billion Distribution to Nursing Facilities Impacted by COVID-19

HHS Announces $4.9 Billion Distribution to Nursing Facilities Impacted by COVID-19

On May 22, CMS announced it has begun distributing billions in relief funds to skilled nursing facilities to combat COVID-19.  This funding is to help nursing homes to address critical needs such as labor, scaling up their testing capacity, PPE and other expenses directly related to the pandemic. Distribution Methodology: Each nursing home will receive […]

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CMS Guideline for Safely Reopening Nursing Homes

CMS Guideline for Safely Reopening Nursing Homes

The Centers for Medicare and Medicaid Services, on May 18, 2020, issued guidance for state and local officials to ensure the safe reopening of nursing homes nationwide. The purpose of these guidelines per CMS is to give guidance for states to take appropriate and necessary steps to ensure resident’s safety. One main objective of CMS […]

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3.15.20 MDS 3.0 Technical Updates

CMS Releases Updates to MDS 3.0 Technical Information

In response to State Medicaid Agency and stakeholder requests, CMS has updated the MDS 3.0 item sets (version 1.17.2) and related technical data specifications.  These changes will support the calculation of PDPM payment codes on OBRA assessments when not combined with the 5-day SNF PPS assessment, specifically the OBRA comprehensive (NC) and OBRA quarterly (NQ) […]

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CMS Announces Relief in Response to COVID-19

CMS Announces Relief from the Quality Reporting Program in Response to COVID-19

On March 22, 2020, the Centers for Medicare and Medicaid Services (CMS) announced it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality reporting programs with respect to upcoming measure reporting and data submission for those programs. This applies to Skilled Nursing Facility (SNF)  Quality Reporting Program (QRP) […]

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CMS_ COVID-19 Emergency Declaration for SNFs

CMS: COVID-19 Emergency Declaration for SNFs

The Federal Department of Health and Human Services issued an updated memo on COVID-19 protocols from Centers for Medicare & Medicaid Services (CMS) official, David Wright. The memo states: Facilities should restrict visitation of all visitors and non-essential health care personnel, except for certain compassionate care situations, such as an end-of-life situation. In those cases, […]

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

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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Webinars

Skilled Nursing Facilities

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 […]

Learn More
Pepper Report and 5 Star Ratings

PEPPER Report and 5 Star Ratings: Why Your Long-Term Care Facility Should Care

Monitoring data in long term care can be the key to success. Five Star Ratings and PEPPER Reports are two data sources your organization needs to review to stay on top of industry changes. The Centers for Medicare & Medicaid Services (CMS) recently released revisions to the 5 Star Technical Users’ Guide, and with the […]

Learn More
Post-acute care hot topics for 2021

Post-Acute Care: Hot Topics Leading 2021

Skilled nursing facilities are under intense pressure with all the new reporting requirements. Vaccinations, testing, PDPM, Quality Measures, Quality Reporting Program (QRP), staffing and infection control surveys are just a few of the items skilled nursing facilities are having to juggle these days. The only constant is change and the need to stay informed on […]

Learn More
Blue & Co.'s December 2020 Webinars | Free webinars | Financial services and consulting | PPP | Paycheck Protection Program Webinar | Manufacturing Webinars | Cybersecurity Webinars

Blue & Co. December 2020 Webinars

It’s webinar season at Blue & Co., LLC.! Check out all of our upcoming events for the week of December, 14. Monday, December 14 Panel Discussion Regarding Paycheck Protection Program (PPP) Webinar – Free to attend On Monday, December 14 from noon – 1 p.m. EST, Blue & Co., LLC will be hosting a panel […]

Learn More
Outpatient Therapy | WellSky Webinar: Hospital Outpatient Therapy: A Patient-Centric Way to Grow Revenue

On Demand Webinar: Hospital Outpatient Therapy: A Patient-Centric Way to Grow Revenue

Outpatient physical therapy programs are often overlooked in the hospital. However, there are several opportunities to increase access to care for patients and increase revenue for the hospital in outpatient therapy. Believe it or not, there are still opportunities for charge capture in this area, along with some basic “blocking and tackling” operational issues. New […]

Learn More
PAC News

Skilled Nursing Facilities PPS FY 2021 Final Rule Summary

Centers for Medicare & Medicaid Services (CMS) issued a final rule [CMS-1737-F] for Fiscal Year (FY) 2021 that updates the Medicare payment rates and the value-based purchasing program for skilled nursing facilities (SNFs). Effective October 1, 2020 under the PPS Patient- Driven Payment Model (PDPM). Federal Based Rates Updates to Payment Rates Under PPS Case-mix […]

Learn More