Harmony Healthcare Blog

Kris Mastrangelo

Recent Posts

PDPM: Impact on Medicaid Case Mix States

Posted by Kris Mastrangelo on Tue, Jun 11, 2019

C.A.R.E.

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


At Harmony Healthcare International (HHI), we are receiving many inquiries on how the PDPM payment system will impact Medicaid Case Mix States.  

Effective October 1, 2019, CMS will replace the existing Resource Utilization Group (RUG), Version 4 Case Mix methodology that is used to classify Skilled Nursing Facility (SNF) patients in a covered Part A stay for payment purposes under the SNF Prospective Payment System with a new Case Mix classification model, the Patient Driven Payment Model (PDPM). 

Read More

Topics: Case Mix, Patient-Driven Payment Model

ICYMI: Long-Term Care and the Data Dilemma

Posted by Kris Mastrangelo on Thu, May 23, 2019

C.A.R.E.

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


Interview with Billie Nutter, President of Casamba, Inc.

Tom Mack, Senior Vice President of Client Development at Harmony Healthcare International (HHI), interviews Billie Nutter, President of Casamba, Inc., in the 2018 AHCA Provider Lounge.  As a leading expert in the post-acute care industry, Billie believes a big pain point facing LTPAC providers is data fragmentation.  Providers are being asked to collect and report data to a wide array of entities, be it hospital partners, bundled payment groups and/or ACO networks.  Billie notes that the amount of data being collected is at times staggering.   With that said, it is often hard to compare one skilled nursing facility's data to another because the industry lacks standardized outcomes (and how those outcomes are measured).   Billie believes long-term care providers need to find a way to share their data stories in order to truly show their successes and highlight their progress.  As a response to this data dilemma, Casamba has developed tools to assist their clients in tracking real time data and provide predictive analytics.

Read More

Topics: Data Analytics

ICYMI: Mark Parkinson's Advice for SNFs in 2019

Posted by Kris Mastrangelo on Thu, May 16, 2019

C.A.R.E.

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


Interview with Mark Parkinson, President and CEO of American Health Care Association (AHCA)

Tom Mack, Senior Vice President of Client Development at Harmony Healthcare International (HHI), interviews Mark Parkinson, President and CEO of American Health Care Association, in the 2018 AHCA Provider Lounge.   Parkinson says there are two key things providers should be focusing on when it comes to reimbursement and regulatory change.  First off, he says facilities need to prepare for Patient Driven Payment Model (PDPM) right now.  He emphasizes that PDPM doesn't just change rates, it's a completely new payment system.  Secondly, Parkinson encourages providers to take risks when it comes to these reimbursement changes.  More and more of his member facilities are developing their own insurance plans known as I-SNPs (Institutional Special Needs Plans).  Parkinson admits that it can be a complicated process, but the 22 facilities that have implemented such plans have seen positive results that not only benefit operators, but residents as well.

Read More

Topics: Patient-Driven Payment Model

ICYMI: Therapy Utilization under Patient-Driven Payment Model (PDPM)

Posted by Kris Mastrangelo on Wed, May 15, 2019

C.A.R.E.

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


Interview with Irene Henrich, Director of Quality and Compliance at Flagship Rehabilitation

Tom Mack, Senior Vice President of Client Development at Harmony Healthcare International (HHI), interviews Irene Henrich, Director of Quality and Compliance at Flagship Rehabilitation, in the 2018 AHCA Provider Lounge.   Irene discusses the challenges facing contract therapy companies under Patient-Driven Payment Model (PDPM).  While the goal for contract therapy companies will remain the same - to provide quality care - it will be extremely important to position themselves as a true healthcare partner and not simply a staffing agency.   As demonstrated by Flagship Rehabilitation, therapy companies have the ability to become an integral educational resource to skilled nursing facilities under this new payment model.

Read More

Topics: Patient-Driven Payment Model

Requirements of Participation (RoP): Overview Phase III

Posted by Kris Mastrangelo on Thu, Mar 28, 2019

C.A.R.E.

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


Phase III
Requirements of Participation (RoP)
Implemented by November 28, 2019 

Highlights 

  1. QAPI Plan/Program Governing Body
  2. Person-Centered Care Planning
  3. Trauma Informed Care / Behavioral Health Services for History of Trauma PTSD
  4. Infection Preventionist
  5. Compliance and Ethics Program
  6. Physical Environment
  7. Training Requirements Competencies of Staff
  8. Dietary 

Read More

Topics: Requirements of Participation

Compliance Series - 7 Elements: #7 Enforcement, Discipline and Incentives

Posted by Kris Mastrangelo on Tue, Feb 19, 2019

C.A.R.E.

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


As a finalization of the 7-Post Blog Series on Compliance, today we will explore #7 Enforcement, Discipline and Incentives.

P-R-E-P-A-R-E

  1. Policies and Procedures
  2. Reporting and Investigating
  3. Education and Training
  4. Prevention and Response
  5. Auditing and Monitoring
  6. Responsibility and Oversight Committee
  7. Enforcement, Discipline and Incentives 
Read More

Topics: Compliance

Compliance Series - 7 Elements: #6 Responsibility and Oversight Committee

Posted by Kris Mastrangelo on Thu, Feb 14, 2019

C.A.R.E.

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


As a continuation of the 7-Post Blog Series on Compliance, today we will explore #6Responsibility and Oversight Committee. 

P-R-E-P-A-R-E

  1. Policies and Procedures
  2. Reporting and Investigating
  3. Education and Training
  4. Prevention and Response
  5. Auditing and Monitoring
  6. Responsibility and Oversight Committee
  7. Enforcement, Discipline and Incentives
Read More

Topics: Compliance

Compliance Series - 7 Elements: #5 Auditing and Monitoring

Posted by Kris Mastrangelo on Tue, Feb 12, 2019

C.A.R.E.

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


As a continuation of the 7-Part Blog Series on Compliance, today we will explore Auditing and Monitoring. 

P-R-E-P-A-R-E

  1. Policies and Procedures
  2. Reporting and Investigating
  3. Education and Training
  4. Prevention and Response
  5. Auditing and Monitoring
  6. Responsibility/Oversight of Compliance Officer/Committee
  7. Enforcement, Discipline and Incentives 
Read More

Topics: Compliance

Compliance Series - 7 Elements: #4 Prevention and Response 2019

Posted by Kris Mastrangelo on Thu, Feb 07, 2019

C.A.R.E.

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


As a continuation of the 7-Part Blog Series on Compliance, today we will explore Prevention and Response. 

P-R-E-P-A-R-E

  1. Policies and Procedures
  2. Reporting and Investigating
  3. Education and Training
  4. Prevention and Response
  5. Auditing and Monitoring
  6. Responsibility/Oversight of Compliance Officer/Committee
  7. Enforcement, Discipline and Incentives
Read More

Topics: Compliance

Compliance Series - 7 Elements: #3 Education and Training

Posted by Kris Mastrangelo on Tue, Feb 05, 2019

C.A.R.E.

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


As a continuation of the 7 Part Blog Series on Compliance, today we will explore Education and Training. 

P-R-E-P-A-R-E

  1. Policies and Procedures
  2. Reporting and Investigating
  3. Education and Training
  4. Prevention and Response
  5. Auditing and Monitoring
  6. Responsibility/Oversight of Compliance Officer/Committee
  7. Enforcement, Discipline and Incentives 
Read More

Topics: Compliance

Subscribe to The HHI Blog

Posts by Topic

see all
harmony19
New Call-to-action

Stay connected!

Instagram