Harmony Healthcare Blog

Kris Mastrangelo, OTR/L, LNHA, MBA

President and CEO, Harmony Healthcare International (HHI)
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Isolation and Quality Care Top 10 Criterion You Need to Know: Coronavirus (COVID-19) Pandemic

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Sun, Mar 22, 2020

C.A.R.E.

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


As the Coronavirus pandemic evolves, we are actively observing our world change at an exponential pace.  Despite this rapid change, the commitment level of the team at Harmony Healthcare International (HHI) has not deviated from our uppermost dedication to you, your staff and most importantly, to our role in helping you provide the highest quality care to your residents.

First, and most importantly, the safety of you, your staff and your residents remain the number one priority.  Most of you have readily adapted and maintained our Harmony Healthcare International (HHI) services using remote access.  We are grateful for your flexibility and appreciate your awareness of the potential risks of missing your monthly medical record reviews.  Many scenarios cannot be recouped and a heightened focus on care and reimbursement is essential to successfully navigate the upcoming months.

This leads me into a very important subject matter that fits the current world situation:

Isolation of patient’s with infectious diseases.

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Topics: Isolation, coronavirus, COVID-19

Coronavirus and Influenza Outbreak: Top 20 Things You Need to Know

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, Mar 06, 2020

C.A.R.E.

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


  1. Number one goal is to prevent the virus from entering the Skilled Nursing Facility.
  2. If a virus enters the Skilled Nursing Facility, place full court press with goal to prevent the spread of infection.
  3. If there is a confirmed or suspected influenza outbreak, implement Outbreak Control Measures.
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Topics: coronavirus

Trauma Informed Care: Top 10 Trauma Causing Events from Childhood

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Mon, Feb 17, 2020

C.A.R.E.

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


“Childhood Trauma leads to a Shorter Lifespan.”

Thank you for all the comments and notes on the Medicare Minutes. Many of you are seeking more information on Trauma Informed Care. As I have said since the draft RoP Requirements of Participationwas published, (I read it in a Cambridge Massachusetts Hotel while my daughter Savannah wrote her college application essays), CMS is on top of their game and ahead of the curve.

The Skilled Nursing Industry is working diligently to understand how to provide care to an individual with Trauma. Trauma can be caused by a multitude of events within a lifetime. However, it is prudent to educate staff on root causes from childhood events.

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Topics: trauma-informed care

Medicare Minute: Payroll-Based Journal

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Wed, Feb 12, 2020

C.A.R.E.

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


Medicare Minute with Kris Mastrangelo: Payroll-based Journal (PBJ)

In today's Medicare Minute Kris Mastrangelo, President and CEO of Harmony Healthcare International (HHI), discusses Payroll-based Journal also known as PBJ.   Did you know that your Payroll-based Journal data is due to CMS on February 14, 2020?  Before you submit your data make sure you verify it for accuracy.  Watch today's video for a few more suggestions regarding the submission of your PBJ data.  As always, we encourage you to share your comments and thoughts!

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Topics: CMS, Payroll-Based Journal, PBJ

Medicare Minute: CMS Abuse Icon

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Tue, Feb 11, 2020

C.A.R.E.

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


Medicare Minute with Kris Mastrangelo: CMS Abuse Icon

In today's Medicare Minute Kris Mastrangelo, President and CEO of Harmony Healthcare International (HHI), discusses the new abuse icon that CMS began using in October 2019.   The long-term care industry has pushed for the icon's removal or modification due to several issues.  Watch the video to learn more about the issues regarding the new icon and don't forget to leave your comments and thoughts!

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Topics: CMS, Nursing, Medicare Minute, Abuse Icon

Medicare Minute: Nurses Rule The World

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Wed, Feb 05, 2020

C.A.R.E.

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


Medicare Minute with Kris Mastrangelo: Nurses Rule the World

In today's Medicare Minute Kris Mastrangelo, President and CEO of Harmony Healthcare International (HHI), explains one of her most well-known mantras.  Watch the video to find out why she, as an occupational therapist, believes "Nurses Rule the World".

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Topics: Nursing, Medicare Minute, Skilled Care

AHCA Provider Lounge: Georgia Health Care Association (GHCA)

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Thu, Jan 30, 2020

C.A.R.E.

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


Interview with Tony Marshall, President of the Georgia Health Care Facility GHCA

Kris Mastrangelo, President and CEO at Harmony Healthcare International (HHI), interviews Tony Marshall, President of the Georgia Health Care Association (GHCA), in the AHCA Provider Lounge.  Tony discusses everything from the PDPM transition to workforce challenges facing Georgia health care providers.   Voted one of the best places to do business, Georgia faces a unique challenge when it comes to long-term care staffing.  With businesses constantly creating new jobs that offer higher paying wages and easier workloads it's often hard for long-term care providers to compete for new staff, especially at the CNA level.  In order to help providers secure staff, Georgia Health Care Association has paired up with several career academies in hopes of promoting long-term care professions to a younger audience.

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Topics: Kentucky Association of Health Care Facilities, Work Force

Medicare Minute: Top 4 Tags for Trauma-Informed Care

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Wed, Jan 29, 2020

C.A.R.E.

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


Medicare Minute with Kris Mastrangelo: Top 4 Tags for Trauma-Informed Care

In today's Medicare Minute Kris Mastrangelo, President and CEO of Harmony Healthcare International (HHI), discusses Trauma-Informed Care.  Do you know the top 4 Tags associated with Trauma-Informed Care? Watch the video to find out!  

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Topics: Medicare Minute, trauma-informed care

AHCA Provider Lounge: Recruiting and Retaining Staff

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Thu, Jan 23, 2020

C.A.R.E.

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


Jessica Pellegrino Tsoukalas, Director of Business Development and Strategy at Bridgeway Healthcare Discusses the Key to Recruiting and Retaining SNF Staff

Kris Mastrangelo, President and CEO at Harmony Healthcare International (HHI), interviews Jessica Pellegrino Tsoukalas, Director of Business Development and Strategy at Bridgeway Senior Healthcare (NJ) , in the AHCA Provider Lounge.   Jessica says that one of the biggest challenges facing Bridgeway is workforce recruitment and retention.  Located in a zip code with six other skilled nursing facilities, Bridgeway has obvious competition when it comes to attracting ideal employees.  With this in mind, Jessica and her team take a creative approach when it comes to staffing.  Among other incentives, Bridgeway Healthcare offers employees on-site housing.  Additionally, Bridgeway utilizes employee surveys to get real-time feedback on a regular basis.  Watch the video to learn more about Bridgeway Healthcare and their unique approach to staff recruitment and retainment.

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Topics: Staffing, Bridgeway Healthcare, Recruiting

AHCA Provider Lounge: Betsy Johnson - Kentucky Association of Health Care Facilities

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Tue, Jan 21, 2020

C.A.R.E.

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


Interview with Betsy Johnson, President of the Kentucky Association of Health Care Facilities

Kris Mastrangelo, President and CEO at Harmony Healthcare International (HHI), interviews Betsy Johnson, President of the Kentucky Association of Health Care Facilities (KAHCF), in the AHCA Provider Lounge.   Betsy Johnson discusses the current challenges facing long-term care facilities and professionals in the state of Kentucky.  First off, with a very low unemployment rate, Kentucky has a limited number of individuals looking for new jobs, let alone jobs in the long-term care industry.  With that in mind, KAHCF has joined forces with both the Kentucky Chamber and the Cabinet of Health and Family Services to promote jobs within the long-term care field.  As part of their partnership with the Cabinet of Health and Family Services, KAHCF encourages young adults who are aging out of the foster care system to look into careers within the field of aging.  The Cabinet in turn pays the salaries of any individuals taking advantage of this program.  Johnson is quick to remind the viewer that many of today's long-term care industry leaders were once CNAs who themselves started in the field when they were eighteen years-old.  Additionally, Johnson discusses the lack of tort reform in the state of Kentucky and the effect that has on the state's long-term care facilities.

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Topics: Kentucky Association of Health Care Facilities, Work Force

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