Harmony Healthcare Blog

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

Quality Measure: New or Worsening Pressure Ulcer - Short Stay

Posted by Kim Steele on Tue, Sep 13, 2016

C.A.R.E.

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


Of the Harmony dubbed “Sweet 16 Quality Measures” that impact SNF Five-Star Rating, Pressure Ulcer falls on the list twice.  Once for long stay and once for short stay. Today’s blog will focus on the short stay measure. Many facilities become concerned when they note that their Quality Measures for Patients With New or Worsening Pressure Ulcer (Injury) is elevated above facility benchmarks or national averages.  This concern is justified and opens an excellent opportunity to investigate current facility practices for managing, coding and clinical operations. Harmony Healthcare International (HHI) offers the following guidelines to assist facilities:

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Topics: Pressure Ulcer, Quality Measures, MDS Short Stay

Quality Measure Improvement in Function: Top Two Questions about the Measure

Posted by The Harmony Team on Thu, Sep 08, 2016

C.A.R.E.

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


The new CMS Short Stay Quality Measure titled “Percentage of Short-Stay Residents Who Made Improvements in Function” was posted to Nursing Home Compare April 2016. Effective August 2016, this Quality Measure is integrated into the Five Star Rating System.

Currently, this measure will only be assigned half of its assigned point value (up to 50 Points of 1350) but will impact fully (100 points of 1600) in January 2017.  Many providers noted that although they have a strong rehabilitation program with obvious improvements (as evidenced by successful discharges home), the data shows they may have performed poorer than expected.  

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Topics: Quality Measures, MDS Short Stay, Improvement in Function

MDS Short Stay Policy: The 8 Conditions (Part 2 of 2)

Posted by Kris Mastrangelo on Thu, Jun 30, 2016

As a continuation from Part 1 of our MDS Short Stay Policy post, let’s carry on with the 8 Conditions required for the MDS Short Stay Policy: 

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Topics: MDS Short Stay, Rehabilitation RUG Classification

MDS Short Stay Policy: Does the Patient Qualify? (Part 1 of 2)

Posted by Kris Mastrangelo on Tue, Jun 28, 2016

Last week’s Harmony Healthcare International (HHI) site visits spurred much discussion on the MDS Short Stay Policy. The criteria for this policy can be confusing, yet, should always be considered for patients with a Medicare Stay less than 8 days.

As we have all learned, the Short Stay Policy can generate a higher RUG Score for Rehabilitation patients who are discharged from the facility or terminated Medicare coverage on or prior to day 8 in their SNF stay. The early discharge may be caused by benefits exhausting, discharge home, death or discharge the hospital.

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Topics: MDS Short Stay, Patient Discharge

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