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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. 

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Topics: MDS Assessments

Skilled Nursing Facility Quality Reporting Program Data Collection & Final Submission Deadlines for the FY 2021 SNF QRP

Posted by The Harmony Team on Tue, Jan 08, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • 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). 

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Topics: Quality Reporting Program

MDS Updates October 2017

Posted by The Harmony Team on Thu, Oct 19, 2017

C.A.R.E.

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


Section G (Functional Status):  CMS has added four new bullet points to the Coding Tips and Special Populations section for G0110 (Activities of Daily Living (ADL) Assistance): 

  1. Some residents are transferred between surfaces, including to and from the bed, chair, and wheelchair, by staff, using a full-body mechanical lift. If the resident holds onto a bar, strap, or other device during the full-body mechanical lift transfer is not part of the transfer activity and should not be considered as resident participation in a transfer. 
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Topics: MDS

Therapy Minutes Defined: Medicare Part A

Posted by The Harmony Team on Thu, Aug 03, 2017

C.A.R.E.

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


The Harmony HealthCARE Specialist Team provides the following information on how CMS (Center for Medicare and Medicaid Services) defines billable therapy minutes under the Medicare Part A SNF Benefit. 

While analyzing the operations of a SNF Rehabilitation Department, it is often revealed that education and re-education on the Medicare requirement for billable and non-billable minutes is a necessary component for systems refinement. 

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Topics: Billable Therapy Minutes

Combining OBRA and PPS MDS Assessments

Posted by The Harmony Team on Tue, Aug 01, 2017

C.A.R.E.

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


It is common practice to combine the OBRA Admission Assessment with the PPS 5-Day or 14-Day Assessment when the time frames coincide for both required assessments.  This is allowable to avoid unnecessary duplication of effort.  In such cases, the most stringent requirement of the two assessments for MDS completion must be met. In addition, one assessment may satisfy two OBRA assessment requirements, such as and Admission and Discharge Assessment, or two PPS Assessments, such as a 30-Day Assessment and an End of Therapy OMRA. 

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Topics: ARD Schedule, MDS Assessments

Isolation: Coding Requirements and Supporting Documentation

Posted by The Harmony Team on Thu, Jul 27, 2017

C.A.R.E.

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


This week’s hot topic is a resurfacing of the definition of coding of isolation.   We blogged about this in February, but it seems that questions continue to arise.  Let’s dig a little deeper into the RAI Criteria for coding Isolation with a focus on supporting documentation. 

Per the MDS 3.0 RAI User’s Manual, Isolation is coded only when the resident requires transmission-based precautions and single room isolation (alone in a separate room) because of an active infection (i.e., symptomatic and/or have a positive test and are in the contagious stage) with highly transmissible or epidemiologically significant pathogens that have been acquired by physical contact or airborne or droplet transmission. 

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Topics: Isolation

Change of Therapy and End of Therapy: Unnecessary Assessment Completion OMRA

Posted by The Harmony Team on Thu, Jun 01, 2017

C.A.R.E.

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


The Change of Therapy (COT) OMRA and End of Therapy (EOT) OMRA Assessment completion can be complex and confusing.  

It is not uncommon to observe an unnecessary End of Therapy (EOT) Assessment completed resulting in payments at a Nursing RUG Level versus a Rehabilitation RUG Level. 

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Topics: Change of Therapy, End of Therapy, OMRA

Question of the Week: Short Stay Assessments

Posted by The Harmony Team on Tue, May 23, 2017

C.A.R.E.

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


Question:  Does the therapist need to treat the day of discharge in order to qualify for the short stay? 

Answer:  No, the therapist does not need to treat the day of discharge.  Points to know: 

  • Therapy is "ongoing", meaning the treatment sessions would have continued if the patient was not discharged. 
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Topics: MDS Short Stay, Therapy

AHCA Provider Lounge Series: The Provider's Payment Predicament

Posted by The Harmony Team on Tue, Mar 07, 2017

Interview with David Voepel, Executive Director - Illinois Health Care Association

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews David Voepel, Executive Directore of the Illinois Health Care Association (IHCA), in the AHCA Provider Lounge.  David discusses the predicament providers in his state are finding themselves in when it comes to receiving payment for the care they are providing.   (Audio transcription below).

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Topics: Payment Reform

MDS 3.0 Section GG: Ideal Number of Goals

Posted by The Harmony Team on Tue, Feb 07, 2017

C.A.R.E.

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


MDS 3.0 Section GG has proven to complicate matters when it comes to coding the MDS.  Daily calls inquiring how to interpret the regulations consumes the Harmony Healthcare International (HHI) phone lines and HarmonyHelp Client Only Knowledge Center. 

One of the most frequently asked Section GG questions to date is: 

“What is the ideal number of goals that should be addressed in Section GG?”

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Topics: Section GG

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