Harmony Healthcare Blog

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

OT Skilled Treatment Techniques for Dementia (Part II)

Posted by Kris Mastrangelo on Wed, Sep 12, 2018

C.A.R.E.

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


To reiterate from Part I of the blog, Occupational Therapy skilled interventions require the expertise, knowledge and judgment of an Occupational Therapist. Often, clinicians underestimate the value of their input/treatment and perceive the interaction as unskilled because the treatment or action is so obvious to the therapist. Yet, the Occupational Therapist may not realize the task, modification or recommendation is a game changer to the functionality of the patient.

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Topics: Dementia

ICYMI: Skilled Care (Occupational Therapy) for Dementia: Part I

Posted by Kris Mastrangelo on Tue, Sep 04, 2018

C.A.R.E.

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


Definition of Dementia:  A usually progressive condition (such as Alzheimer's disease) marked by the development of multiple cognitive deficits (such as memory impairment, aphasia, and the inability to plan and initiate complex behavior). 

  • Dementia is diagnosed only when both memory and another cognitive function are each affected severely enough to interfere with a person's ability to carry out routine daily activities. 
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Topics: Dementia

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

SNF Value-Based Purchasing: Hospital Readmissions Incentive Payment Multiplier

Posted by Kris Mastrangelo on Tue, Aug 14, 2018

C.A.R.E.

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


Effective October 1, 2018 (Fiscal Year 2019) Skilled Nursing Facilities across the country will be subject to the first metric of Value-Based Purchasing, Hospital Readmissions. Value-Based Purchasing is comprised of 3 components:  Measurement, Report and Reward. 

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Topics: Value-Based Purchasing, hospital readmissions

Siderails/Bedrails F700: State Operation Manual Appendix PP

Posted by Joni Gosser on Tue, Aug 07, 2018

C.A.R.E.

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


The State Operation Manual Appendix PP specifically addresses siderails in F700. 

The SOM states: 

“After a facility has attempted alternatives to bedrails and determined that these alternatives do not meet the resident’s needs, the facility must assess the residents for the risk of entrapment and possible benefits of bedrails.” 

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Topics: physical restraints

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