Harmony Healthcare Blog

New York State Transitions to Medicaid Managed Care Plan March 1st

Posted by Kris Mastrangelo on Tue, Mar 04, 2014

Effective March 1, 2014, all eligible beneficiaries over the age of 21 in New York City, Nassau, Suffolk and Westchester counties, in need of long term placement in a nursing facility, will be required to join a Medicaid Managed Care Plan (MMCP) or a Managed Long Term Care Plan (MLTCP).  The rest of New York State is scheduled to begin transitioning this coming September for both dual and non-dual eligible populations and all upstate counties will be phased in by December 2014.

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Topics: Medicaid, Medicaid Reimbursement, Managed Care

Case Mix as a Medicaid Reimbursement System

Posted by Peter Mastrangelo on Wed, Jun 20, 2012

Case Mix - Medicare Minute

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Topics: Medicare, Medicaid, Case Mix, OBRA, MDS, PPS, MDS assessment, Medicaid Reimbursement

10 ways to Increase your Case Mix Index

Posted by Kris Mastrangelo on Mon, Jun 21, 2010

There are numerous ways a facility can increase their Case Mix Index.  Facilities must monitor the follow criteria to ensure proper Medicaid Reimbursement and increase your Case Mix Index.

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Topics: Case Mix, Assessment Schedules, Medicaid Reimbursement

Increase your Case Mix Index Tip #6

Posted by The Harmony Team on Mon, Jun 07, 2010

Increase your CASE MIX INDEX TIP #6

Case Mix:  There is significant opportunity to increase your case mix index with the intervention of rehabilitation during the appropriate assessment windows.  Increased communication between the rehabilitation staff and the MDS Coordinator regarding patients receiving Medicare Part B services has the potential to increase the case mix index in two ways. 
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Topics: Case Mix, OBRA, Medicaid Reimbursement

Increase your Medicaid Case Mix Index Tip #4

Posted by The Harmony Team on Mon, Jun 07, 2010

Increase your Medicaid CASE MIX INDEX TIP #4

Cold and Flu Season:  During the case mix window it is more important than ever to have a heightened awareness on patients with cold and flu symptoms.  Patients frequently require additional physician visits, may have additional physician orders, may have a fever and vomiting and may require oxygen.  Patients will often have a diagnosis of pneumonia with fever or weight loss with a fever during these illnesses. 
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Topics: Case Mix, Medicaid Reimbursement

Increase your Medicaid Case Mix Index Tip #3

Posted by The Harmony Team on Mon, Jun 07, 2010

Increase your Medicaid CASE MIX INDEX TIP #3

Skin Issues:  Noted skin issues should be followed by a chart audit by the MDS coordinator to determine if these skin issues are as a result of pressure, venous stasis or excoriations due to incontinence.  Early identification and coding of skin issues on the MDS assures that these issues are being care planned and treated.
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Topics: Case Mix, Skin Conditions, Medicaid Reimbursement

Increase your Medicaid Case Mix Index Part II

Posted by The Harmony Team on Mon, Jun 07, 2010

Increase your Medicaid CASE

MIX Index

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Topics: Case Mix, Medicaid Reimbursement

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