Harmony Healthcare Blog

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

Posted by Sally Fecto 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!

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

  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?
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Topics: Patient-Driven Payment Model

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

Posted by Sally Fecto 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 Sally Fecto 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!

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

  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

Top 4 QAPI Requirements due November 28, 2019

Posted by Pam Duchene on Tue, Feb 26, 2019

C.A.R.E.

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


Five years ago, the Office of the Inspector General received a difficult report stating that one in three residents admitted to a skilled nursing facility experienced an adverse event resulting in harm within the first 35 days of their stay.  The report estimated that 60% of such events were preventable.  The IMPACT Act of 2014, and subsequent changes in the Requirements of Participation for Skilled Nursing Facilities are results of this monumental and eye-opening report.  

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Topics: QAPI

Competency Assessment for Nursing Homes

Posted by Pam Duchene on Thu, Feb 21, 2019

C.A.R.E.

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


According to William Glasser, 

“No human being will work hard at anything unless they believe that they are working for competence.”

This is particularly true with healthcare.  Nurses and staff in long term care work to make a difference in the lives of those entrusted into their care.  While nursing in skilled care may not be packed with the adrenaline rush of the emergency department, it is filled with adventure and activity and an opportunity to deliver person-centered, compassionate care to those in need. 

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Topics: Core Competencies

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 
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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

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