Harmony Healthcare Blog

Medicare Minute: Therapy Billing Codes

Posted by Kris Mastrangelo on Wed, Jan 15, 2020

C.A.R.E.

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


Medicare Minute with Kris Mastrangelo

Join us as we welcome back our Medicare Minute video segments.  In today's video Kris Mastrangelo, President and CEO of Harmony Healthcare International (HHI), discusses changes made to therapy billing codes as of January 2020.  Do you know which two codes were affected? Watch the video to find out!  Also, don't forget to join us January 17th at 1:00 p.m. EST for Friday's Free Webinar on PDPM - Click Here to Register

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Topics: Medicare Minute, therapy billing codes

AHCA Provider Lounge: Heath Boddy - Nebraska Health Care Association

Posted by Kris Mastrangelo on Tue, Jan 14, 2020

C.A.R.E.

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


Interview with Heath Boddy, Executive Director of the Nebraska Health Care Association

Kris Mastrangelo, President and CEO at Harmony Healthcare International (HHI), interviews Heath Boddy, Executive Director of the Nebraska Health Care Association, in the AHCA Provider Lounge.   Heath discusses the pros and cons of the Five-Star Rating.  While Heath believes transparency is a good thing, he finds the rating system to be flawed in several aspects.  First off, the Five-Star Rating is on a bell-curve that requires at least 10% of the providers in a state to be one-star.  By this measure, regardless of the level of care provided all facilities in a state will never all be four or five stars.  Additionally, Five-Star Ratings are state specific.  A Five-Star facility in Nebraska may not be comparable to a Five-Star facility in Iowa or vice-versa.

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Topics: Five-Star, Heath Boddy, Nebraska Health Care Association

PDPM: Lessons Learned from Month One of PDPM

Posted by The Harmony Team on Tue, Jan 07, 2020

C.A.R.E.

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


Many teams in the field have been asked what they have learned over the last month of dealing with the Patient Driven Payment Model (PDPM) and MDS Assessments.

  1. Choice of the primary diagnosis and the ICD-10 Code really counts. It impacts not only the Case Mix Groups but needs to be supported in the Nursing Documentation.  The Nursing Notes must connect the dots between the assessments being completed, the Nursing Notes and the primary diagnosis.
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Topics: PDPM

AHCA Provider Lounge Series: Mark Parkinson - AHCA

Posted by Kris Mastrangelo on Fri, Jan 03, 2020

C.A.R.E.

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


Interview with Mark Parkinson, President and CEO of American Health Care Association (AHCA)

Kris Mastrangelo, President and CEO at Harmony Healthcare International (HHI), interviews Mark Parkinson, President and CEO of the American Health Care Association, in the AHCA Provider Lounge.   Mark discusses his views on PDPM, Five-Star and state Medicaid rates.  He says he, like most of the industry, is cautiously optimistic about PDPM as it brings focus back to nursing and restorative care.  He also shares his concerns about the current state of the Five-Star rating.  He would like to see CMS incorporate patient satisfaction into Five-Star.  Additionally, Mark and his team at AHCA have been working to help increase Medicaid to states that meet certain criteria.

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Topics: Medicaid, Five-Star, PDPM, Mark Parkinson

Person-Centered Care: Substance Abuse Support for Veterans

Posted by Kris Mastrangelo on Mon, Dec 30, 2019

C.A.R.E.

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


As the holiday season comes and goes once again, we thought it was important to shed light on a group that is often overlooked: our veterans.

Per the website help.org, in 2015, 1 in 15 veterans had a substance use disorder. According to a study by the Substance Abuse and Mental Health Services Administration (SAMHSA), around 3.7% of service members before the Vietnam war reported substance abuse, but recently, 12.7% of members who have served since 2001 reported drug abuse, more than tripling the pre-Vietnam rate.

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Topics: Veterans, Substance Abuse

AHCA Provider Lounge Series: Ava Green - Grace Healthcare

Posted by Kris Mastrangelo on Thu, Dec 26, 2019

C.A.R.E.

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


Interview with Ava Green, Chief Clinical Officer at Grace Healthcare

Kris Mastrangelo, President and CEO at Harmony Healthcare International (HHI), interviews Ava Green, Chief Clinical Officer at Grace Healthcare, in the AHCA Provider Lounge.   With 24 facilities, Grace Healthcare's mission statement is simple: Serving from the heart.  Ava Green sees PDPM as an exciting step in the right direction because it places the emphasis on the quality of care.   With the shift in reimbursement, Green says it is important to focus on staff education.  In particular, Green believes facilities should focus on educating current employees for leadership roles within their own organization.

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Topics: Education

AHCA Provider Lounge Series: Cynthia Morton - National Association for the Support of LTC

Posted by Kris Mastrangelo on Fri, Dec 20, 2019

C.A.R.E.

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


Interview with Cynthia Morton, Executive Vice President of the National Association for the Support of LTC

Kris Mastrangelo, President and CEO at Harmony Healthcare International (HHI), interviews Cynthia Morton, Executive Vice President of the National Association for the Support of Long-Term Care (NASL), in the AHCA Provider Lounge.    Cynthia discusses the regulatory changes facing Skilled Nursing providers today and what we should be focusing on for the future.  For starters, Value-based Purchasing is here to stay and Cynthia encourages providers to embrace it if they haven't already.  Currently Value-based Purchasing is measured by rehospitalizations, but there is a chance that more measures will be added in the future.

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Topics: Value-Based Purchasing

Home for the Holidays: Leave of Absence

Posted by Kris Mastrangelo on Tue, Dec 17, 2019

C.A.R.E.

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


This is the time when friends and family are asking patients and residents to take a trip out of the facility to enjoy some holiday cheer. There are a few comments I must share with you around this scenario. 

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Topics: Leave of Absence

AHCA Provider Lounge Series: Bob Asztalos - Florida Health Care Association

Posted by Kris Mastrangelo on Thu, Dec 12, 2019

C.A.R.E.

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


Interview with Bob Asztalos, Chief Lobbyist - Florida Health Care Association (FHCA)

Kris Mastrangelo, President and CEO of Harmony Healthcare International (HHI), interviews Bob Asztalos, Chief Lobbyist at Florida Health Care Association (FHCA), in the AHCA Provider Lounge.   Those of us in post-acute operations have heard that Florida is a "litigious" state for nursing home providers.  Bob explains why Florida providers see so many lawsuits and the effect that those legal battles have on LTPAC operations and staffing.

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Topics: Florida Health Care Association, Litigation

AHCA Provider Lounge Series: Phil Scalo - Bartley Healthcare

Posted by Kris Mastrangelo on Tue, Dec 10, 2019

C.A.R.E.

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


Interview with Phil Scalo, President & CEO of Bartley Healthcare

Kris Mastrangelo, President and CEO of Harmony Healthcare International (HHI), interviews Phil Scalo, President of Bartley Healthcare, in the AHCA Provider Lounge.   Over the past 35 years Bartley Healthcare has mastered the art of providing person-centered care.  As President and CEO, Phil explains that the mission of Bartley Healthcare is simple - to understand and meet the needs of their residents.  By following that mission, Phil and his team are able to adapt to the ever-changing regulations.  Phil further states that the key to meeting benchmarks for readmission rates is building a trusted environment.  From admissions to discharge, Bartley makes sure their residents know that they are there to help even after they have returned home.  

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Topics: hospital readmissions

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