Harmony Healthcare Blog

Sally Fecto

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SNF PPS Final Rule FY2019: Principal Diagnosis and Expected Decline

Posted by Sally Fecto on Tue, Oct 30, 2018

C.A.R.E.

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


The Final Rule is in play and a recent webinar conducted by Kris Mastrangelo spurred some relevant questions that require sharing.  One of these questions spurs thought on the included and excluded diagnoses for the SNF Value-Based Purchasing Rehospitalization metric.

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Topics: Final Rule

SNF Quality Reporting Program (SNF QRP): Top 10 Things you Need to Know

Posted by Sally Fecto on Mon, Oct 15, 2018

C.A.R.E.

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


Skilled Nursing Facilities are faced with a multitude of changes over the next decade.  Regulatory and survey expectations require immediate attention and staff training. 

In addition, the advent of quality reporting complicates matters and the following blog is intended to help clarify the mystique and criteria for payment and submission.  Here are the Top 10 things you need to know about SNF QRP. 

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Topics: Quality Reporting Program

MDS 3.0 Updates Effective October 1, 2018: Question and Answer (Part IV of IV)

Posted by Sally Fecto on Tue, Oct 02, 2018

C.A.R.E.

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


Our MDS 3.0 Updates Q&A Series concludes with a few additional questions concerning Section GG, mobility goals and discharges.  Harmony Healthcare International (HHI) will continue to publish blog posts concerning these updates and how they may affect your facilities.  If you have immediate concerns regarding MDS 3.0 Updates, please feel free to contact our team of HealthCARE Specialists to discuss facility-specific in-services and our on-site/remote training options.

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Topics: MDS 3.0

MDS 3.0 Updates Effective October 1, 2018: Question and Answer (Part III of IV)

Posted by Sally Fecto on Fri, Sep 28, 2018

C.A.R.E.

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


We continue our MDS 3.0 Updates Q&A with Part III of our IV-part series.  Today’s blog post takes a closer look at Section GG and Drug Regimen Review.  With the looming regulatory changes, we encourage you to reach out to your facility’s Harmony HealthCARE Specialist if you have additional questions.  As previously stated, the more educated the healthcare professional, the better the care that is rendered the patient. 

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Topics: MDS 3.0

MDS 3.0 Updates Effective October 1, 2018: Question and Answer (Part II of IV)

Posted by Sally Fecto on Tue, Sep 25, 2018

C.A.R.E.

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


As a continuation of the four-part MDS blog series, the below questions/answers add more insight into the design and intent of the MDS and its relation to the care planning process. The Team at Harmony Healthcare International (HHI) takes pride in our “we don’t know, what we don’t know” culture that fosters an environment for continuous knowledge seeking. The more educated the healthcare professional, the better the care that is rendered the patient. 

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Topics: MDS 3.0

MDS 3.0 Updates Effective October 1, 2018: Question and Answer (Part I of IV)

Posted by Sally Fecto on Thu, Sep 20, 2018

C.A.R.E.

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


Question and Answer with Sally Fecto, Sr. VP Field Operations Harmony Healthcare International (HHI) 

The MDS Updates Free Key Friday Webinar on August 31, 2018 spurred an overwhelming amount of MDS questions.  As promised, the answers are available today and over the next 3 blogs in a 4-part series. We appreciate all your inquiries and positive feedback. We hope to see you at harmony18 (the 7th annual LTPAC Symposium)!  We look forward to having a “Party in our Brains” with Kris Mastrangelo and have an all-star lineup of speakers, guests and some very special surprise meet and greets! 

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Topics: MDS 3.0

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

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

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

MDS Validation Reports and Grouper Accuracy

Posted by Sally Fecto on Tue, Jul 17, 2018

C.A.R.E.

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


Question and Answer with
Sally Fecto Sr. VP Field Operations
Harmony Healthcare International (HHI)

  1. Question: Patient admitted to the facility on 6/27/XX and discharged to the hospital on 7/1/XX. Therapy evaluations were completed on 6/28/XX and therapy minutes are as follows:
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Topics: RUGs

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