Harmony Healthcare Blog

Intent to Transfer and Discharge Letter

Posted by Sally Fecto on Tue, Sep 18, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Facility Initiated, Emergency and Resident Initiated
483.15(c) Transfer and Discharge (F622) 

The regulatory and survey landscape continues to emphasize the importance of person-centered care and efficient resident transitions from one setting to another.  Communication and resident awareness are critical components vital to success. SNF Providers must implement systems that include proper notification to residents and representatives when a resident is transferred or discharged from the facility.  

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Topics: Transfers and Discharges

OT Skilled Treatment Techniques for Dementia (Part II)

Posted by Kris Mastrangelo on Wed, Sep 12, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


To reiterate from Part I of the blog, Occupational Therapy skilled interventions require the expertise, knowledge and judgment of an Occupational Therapist. Often, clinicians underestimate the value of their input/treatment and perceive the interaction as unskilled because the treatment or action is so obvious to the therapist. Yet, the Occupational Therapist may not realize the task, modification or recommendation is a game changer to the functionality of the patient.

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Topics: Dementia

ICYMI: Skilled Care (Occupational Therapy) for Dementia: Part I

Posted by Kris Mastrangelo on Tue, Sep 04, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Definition of Dementia:  A usually progressive condition (such as Alzheimer's disease) marked by the development of multiple cognitive deficits (such as memory impairment, aphasia, and the inability to plan and initiate complex behavior). 

  • Dementia is diagnosed only when both memory and another cognitive function are each affected severely enough to interfere with a person's ability to carry out routine daily activities. 
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Topics: Dementia

ICYMI - More Questions and Answers: ABN and NOMNC

Posted by Sally Fecto on Tue, Aug 21, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


These questions come from our latest webinar on ABN and NOMNC.
Missed it? You can view it on-demand and download the handouts by clicking here.

  1. Question: Can you clarify about ABNs and outpatient service provided by a therapy company at an SNF? Not Part B for inpatients, but for outpatients who come to facility office for therapy.  Who is responsible for ABN, the facility or the therapy company?
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Topics: Denial Letters

SNF Value-Based Purchasing: Hospital Readmissions Incentive Payment Multiplier

Posted by Kris Mastrangelo on Tue, Aug 14, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Effective October 1, 2018 (Fiscal Year 2019) Skilled Nursing Facilities across the country will be subject to the first metric of Value-Based Purchasing, Hospital Readmissions. Value-Based Purchasing is comprised of 3 components:  Measurement, Report and Reward. 

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Topics: Value-Based Purchasing, hospital readmissions

Siderails/Bedrails F700: State Operation Manual Appendix PP

Posted by Joni Gosser on Tue, Aug 07, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The State Operation Manual Appendix PP specifically addresses siderails in F700. 

The SOM states: 

“After a facility has attempted alternatives to bedrails and determined that these alternatives do not meet the resident’s needs, the facility must assess the residents for the risk of entrapment and possible benefits of bedrails.” 

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Topics: physical restraints

SNF PPS Final Rule FY19: Top 10 Things You Need to Know

Posted by Kris Mastrangelo on Thu, Aug 02, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The SNF PPS Final Rule was released 7.31.18.  The Top 10 things you need to know:  

  1. There is a 2.4% Medicare Part A Rate increase effective October 1, 2018 (Fiscal Year 2019). This equates to 820 Million dollars for the SNF industry.                                                                                      
  1. Patient Driven Payment Model (PDPM) is the SNF Payment System that correlates payment to the patients’ conditions and care needs rather than volume of services (Cost Based) provided or resources rendered (PPS RUGs System).
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Topics: Final Rule

More Questions and Answers: ABN and NOMNC

Posted by Sally Fecto on Tue, Jul 31, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


These questions come from our latest webinar on ABN and NOMNC.
Missed it? You can view it on-demand and download the handouts by clicking here.

  1. Question: Can you clarify about ABNs and outpatient service provided by a therapy company at an SNF? Not Part B for inpatients, but for outpatients who come to facility office for therapy.  Who is responsible for ABN, the facility or the therapy company?
Read More

Topics: Denial Letters

Skilled Care (Occupational Therapy) for Dementia: Part I

Posted by Kris Mastrangelo on Tue, Jul 24, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Definition of Dementia:  A usually progressive condition (such as Alzheimer's disease) marked by the development of multiple cognitive deficits (such as memory impairment, aphasia, and the inability to plan and initiate complex behavior). 

  • Dementia is diagnosed only when both memory and another cognitive function are each affected severely enough to interfere with a person's ability to carry out routine daily activities. 
Read More

Topics: Dementia

Survey Update: Immediate Jeopardy and Immediate Imposition of Federal Remedies

Posted by Kris Mastrangelo on Thu, Jul 19, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


On June 15th, 2018 CMS released a memo revising the policies for the Immediate Imposition of Federal Remedies.  

Highlights include: 

  1. When the current survey identifies Immediate Jeopardy (IJ) that does not result in serious injury, harm, impairment or death, the CMS Regional Offices may determine the most appropriate remedy.
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Topics: Survey

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