Harmony Healthcare Blog

MDS Transmission Timeframes

Posted by Kris Mastrangelo on Thu, Oct 03, 2019


C.A.R.E.

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


We are 3 days into PDPM (Patient Driven Payment Model) and we are still here!  As discussed on the Freaky Friday Webinar, just breathe and create a process for you and your staff to complete MDS assessments and related evaluations that is conducive to optimal MDS accuracy and MDS compliance.

The Harmony Healthcare International (HHI) strategy (process) for our monthly clients is to wait to transmit until the Regional Harmony Healthcare International (HHI) Specialist reviews the MDS Assessments.  This system provides a safeguard against submitting inaccurate MDS Assessments.

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Topics: Respiratory Therapy

Respiratory Therapy: MDS Coding and Documentation Support

Posted by Kris Mastrangelo on Tue, Oct 01, 2019


C.A.R.E.

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


With the advent of PDPM October 1st, 2019, questions regarding the delivery and coding of respiratory therapy services is top of everyone’s list of question.

The coding of the Respiratory Therapy on the MDS requires:

  • Respiratory Therapy 7 days a week
  • At least 15 minutes per day
  • Equivalent to 5 minutes per shift (105 minutes total/week)
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Topics: Respiratory Therapy

Just Breathe: Top 4 Reasons Why Respiratory Therapy Makes a Comeback

Posted by Kris Mastrangelo on Fri, Aug 16, 2019

C.A.R.E.

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


It has been over two decades since the Skilled Nursing Facility (Nursing Home) industry has undergone an overhaul of the reimbursement for Medicare Part A patients.  I remember the transition back in 1998 like it was yesterday.  The May 12th, 1998 Proposed Rule outlined a RUGS III-34 level Prospective Payment System (PPS) that dramatically shifted the platform of patient care and reimbursement from a cost-based (retroactive) to a per diem based (prospective) system.  The industry was upside down. 

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Topics: Respiratory Therapy

Respiratory Therapy: MDS Coding, Criteria and Qualified Professional

Posted by Kris Mastrangelo on Tue, Mar 06, 2018

C.A.R.E.

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


Respiratory Therapy rendered in a Skilled Nursing Facility Nurse is a common area of discussion related to the coding the MDS.  Accuracy impacts aspects of the both the Medicare Part A and Medicaid Case Mix reimbursement system. This subject matter consistently generates questions from all over the country.  The intent of this blog is to distill and synthesize the framework for a better understanding. 

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Topics: Respiratory Therapy

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