Harmony Healthcare Blog

RCS-1 Resident Classification System Version 1 Delayed until October 2019 and Modified to Patient-Driven Payment Model (PDPM)

Posted by Kris Mastrangelo on Tue, May 01, 2018

C.A.R.E.

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


The Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) released the SNF Proposed Rule for Fiscal Year 2019.  Within the regulation, multiple items addressed including the: 

  • Medicare Rate (increase of 2.4%),
  • Value Based Purchasing (Hospital Re-Admission Metric with 2% reduction or possible 1% increase), and the
  • Quality Reporting Program (No changes, but extended the number of years from one year to two years to calculate the MSPB and Discharge to Community measures). 
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Topics: RCS-1, Patient-Driven Payment Model

RCS-1 Modes of Therapy: MDS Guidelines (Section O)

Posted by Kris Mastrangelo on Tue, Mar 20, 2018

C.A.R.E.

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


As a follow up to the webinar Friday March 16, 2018, here is a narrative of the discussion of the modes of therapy and the related MDS Guidelines form section of the RAI Manual: 

1.  Minutes of Therapy
2.  Non-Skilled Services
3.  Co-Treatment
4.  Therapy Aides
5.  Therapy Students
6.  Individual Therapy
7.  Concurrent Therapy
8.  Group Therapy
9.  Therapy Modalities 

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Topics: RCS-1

RCS-1 (Resident Classification System Version 1): Questions and Answers

Posted by Kris Mastrangelo on Tue, Feb 20, 2018

C.A.R.E.

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


Thank you for the record breaking attendance at the “Free Key Friday” monthly webinar (3rd Friday of the month) last week 2.9.18. The webinar spurred multiple questions that are beneficial to share with all of our blog subscribers. 

  1. Is this new classification for all states nationwide? 
  • Yes, the Resident Classification System 1 (RCS-1) is the new Federal payment system proposed to replace the current Prospective Payment System RUG IV 66 (PPS) for Medicare beneficiaries nationally.

    The new classification system is for Skilled Nursing Facilities (SNF) Medicare Part A Beneficiaries.  This is a Federal Program.  This is the proposed payment system for patients in the nursing home accessing their 100 days of the benefit. 
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Topics: RCS-1

AHCA Provider Lounge Series: What RCS-1 Means for Therapy in the SNF

Posted by Kris Mastrangelo on Thu, Jan 25, 2018

C.A.R.E.

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


Interview with Fred Benjamin, President of Skilled Nursing at Lexington Health Network

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Fred Benjamin, the President of Skilled Nursing at Lexington Health Network, in the 2017 AHCA Provider Lounge.  Fred discusses how the new Resident Classifcation System (RCS-1) will affect the continuing role of therapy and rehabilitation in his organization. At the end of the day, his goal is to provide his patients with the rehab services they need and expect from his facilities.  (Audio transcription below).

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Topics: RCS-1

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