Harmony Healthcare Blog

The Harmony Team

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Patient Driven Payment Model: Bootcamp #1 Questions & Answer

Posted by The Harmony Team on Thu, Jun 20, 2019

C.A.R.E.

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


Question and Answer with Joyce Sadewicz, VP of HarmonyHelp and Pam Duchene, VP of Education & Training Harmony Healthcare International (HHI)

  1. Please address the need for restorative nursing when PDPM is launched.

    See blog dated 6.4.19
    Restorative Nursing: Crucial for Patient Quality, Critical for PDPM
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Topics: Patient-Driven Payment Model, PDPM

ICYMI: Patient Driven Payment Model: Q & A (Part 3 of 3)

Posted by The Harmony Team on Tue, Apr 30, 2019

C.A.R.E.

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


Is your Skilled Nursing Facility ready for the October 1, 2019 implementation of Patient Driven Payment Model (PDPM) as CMS proposed in the SNF PPS Final Rule FY 2019?  We encourage you to use this 3 Part Blog Series to gain an understanding of the Patient Driven Payment Model Reimbursement System.  Questions were submitted to HHI during our recent webinar:  Patient Driven Payment Model: 5 Things to Do Now!

  1. Any idea how Case Mix states will handle this new classification system for Medicaid only facilities since section GG isn't done for these residents?
Read More

Topics: Patient-Driven Payment Model

ICYMI: Patient Driven Payment Model: Q & A (Part 2 of 3)

Posted by The Harmony Team on Fri, Apr 26, 2019

C.A.R.E.

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


Is your Skilled Nursing Facility ready for the October 1, 2019 implementation of Patient Driven Payment Model (PDPM) as CMS proposed in the SNF PPS Final Rule FY 2019?  We encourage you to use this 3 Part Blog Series to gain an understanding of the Patient Driven Payment Model Reimbursement System.  Questions were submitted to HHI during our recent webinar:  Patient Driven Payment Model: 5 Things to Do Now!

Read More

Topics: Patient-Driven Payment Model

ICYMI: Patient Driven Payment Model: Q & A (Part 1 of 3)

Posted by The Harmony Team on Thu, Apr 25, 2019

C.A.R.E.

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


Is your Skilled Nursing Facility ready for the October 1, 2019 implementation of Patient Driven Payment Model (PDPM) as CMS proposed in the SNF PPS Final Rule FY 2019?  We encourage you to use this 3 Part Blog Series to gain an understanding of the Patient Driven Payment Model Reimbursement System.  Questions were submitted to HHI during our recent webinar:  Patient Driven Payment Model: 5 Things to Do Now!

  1. Is there an actual table of rates that we can access?

    Yes, per the Federal Register / Vol. 83, No. 153 Final Rule 
Read More

Topics: Patient-Driven Payment Model

ICYMI: Skilled Nursing Facility Quality Reporting Program Data Collection & Final Submission Deadlines for FY 2021

Posted by The Harmony Team on Thu, Mar 21, 2019

C.A.R.E.

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


The ‘‘FY 2021 SNF QRP’’ refers to the fiscal year for which the SNF QRP requirements applicable to that fiscal year must be met for a SNF to receive the full annual update when calculating the payment rates applicable to it for that fiscal year

The below table provides the data collection time frames and final submission deadlines for the Fiscal Year (FY) 2021 Skilled Nursing Facility Quality Reporting Program (SNF QRP). 

Read More

Topics: Quality Reporting Program

ICYMI: The National Database MDS Resident Matching Process

Posted by The Harmony Team on Tue, Mar 19, 2019

C.A.R.E.

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


The MDS 3.0 Missing OBRA Assessment Report affords the provider an opportunity to validate regulatory compliance with OBRA regulations in completing and submitting MDS Assessments.  

The MDS 3.0 Missing OBRA Assessment report lists the residents in select facilities for whom the target date of the most recent OBRA assessment (other than a discharge or death record) is more than 138 days prior to the report run date. The report also includes residents for whom no OBRA record was submitted for a current episode that began more than 60 days prior to the report run date. The information included in the report is only as current as the date of the last submission by the facility.  Ideally, the queried report should depict “no data returned,” indicating that there no residents identified as having a missed OBRA assessment, as of the last submission and run date. 

Read More

Topics: MDS Assessments

Patient Driven Payment Model: Questions and Answers (Part 3 of 3)

Posted by The Harmony Team on Thu, Mar 07, 2019

C.A.R.E.

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


Is your Skilled Nursing Facility ready for the October 1, 2019 implementation of Patient Driven Payment Model (PDPM) as CMS proposed in the SNF PPS Final Rule FY 2019?  We encourage you to use this 3 Part Blog Series to gain an understanding of the Patient Driven Payment Model Reimbursement System.  Questions were submitted to HHI during our recent webinar:  Patient Driven Payment Model: 5 Things to Do Now!

  1. Any idea how Case Mix states will handle this new classification system for Medicaid only facilities since section GG isn't done for these residents?
Read More

Topics: Patient-Driven Payment Model

Patient Driven Payment Model: Questions and Answers (Part 2 of 3)

Posted by The Harmony Team on Tue, Mar 05, 2019

C.A.R.E.

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


Is your Skilled Nursing Facility ready for the October 1, 2019 implementation of Patient Driven Payment Model (PDPM) as CMS proposed in the SNF PPS Final Rule FY 2019?  We encourage you to use this 3 Part Blog Series to gain an understanding of the Patient Driven Payment Model Reimbursement System.  Questions were submitted to HHI during our recent webinar:  Patient Driven Payment Model: 5 Things to Do Now!

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

  1. Who is responsible for doing the cognitive assessment? I see there is a component under SLP, what if SLP is NOT involved in the patient care?
Read More

Topics: Patient-Driven Payment Model

Patient Driven Payment Model: Questions and Answers (Part 1 of 3)

Posted by The Harmony Team on Thu, Feb 28, 2019

C.A.R.E.

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


Is your Skilled Nursing Facility ready for the October 1, 2019 implementation of Patient Driven Payment Model (PDPM) as CMS proposed in the SNF PPS Final Rule FY 2019?  We encourage you to use this 3 Part Blog Series to gain an understanding of the Patient Driven Payment Model Reimbursement System.  Questions were submitted to HHI during our recent webinar:  Patient Driven Payment Model: 5 Things to Do Now!

  1. Is there an actual table of rates that we can access?

    Yes, per the Federal Register / Vol. 83, No. 153 Final Rule 
Read More

Topics: Patient-Driven Payment Model

The National Database MDS Resident Matching Process

Posted by The Harmony Team on Thu, Jan 10, 2019

C.A.R.E.

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


The MDS 3.0 Missing OBRA Assessment Report affords the provider an opportunity to validate regulatory compliance with OBRA regulations in completing and submitting MDS Assessments.  

The MDS 3.0 Missing OBRA Assessment report lists the residents in select facilities for whom the target date of the most recent OBRA assessment (other than a discharge or death record) is more than 138 days prior to the report run date. The report also includes residents for whom no OBRA record was submitted for a current episode that began more than 60 days prior to the report run date. The information included in the report is only as current as the date of the last submission by the facility.  Ideally, the queried report should depict “no data returned,” indicating that there no residents identified as having a missed OBRA assessment, as of the last submission and run date. 

Read More

Topics: MDS Assessments

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