Harmony Healthcare Blog

Length of Stay (LOS) - What is the Best Calculation?

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Tue, Sep 22, 2020

C.A.R.E.S.

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


HHI is fielding many questions regarding the calculations for Length of Stay (LOS). Skilled nursing facilities across the country track the Clinically Anticipated Stay (CAS), otherwise known as Length of Stay (LOS), to determine the amount of days a patient resides in the nursing home. Data collection is the foundation for monitoring progress, but, in itself is a daunting task. CMS uses LOS in the SNF QRP program, for patients discharged to the hospital and for patients who return to the Emergency Room or hospital within 30 days of discharge from the SNF. The accuracy and consistency of these figures is critical for care, operations, outcomes and analysis.

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Topics: LOS

Skilled Nursing Documentation for Medicare Part A in a SNF

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, Sep 18, 2020

C.A.R.E.S.

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


Harmony Healthcare International (HHI) reinforces the importance of ongoing oversight of all nursing documentation to ensure it supports the rationale for skilled coverage. The following information should be included in all admission notes: 

  • Time and date of admission
  • Mode of Transportation, assist level and number of assist with transfers and bed mobility
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Topics: Documentation

HHI C.A.R.E.S. About Care Top 8 Updates for SNFs

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Wed, Jul 15, 2020

C.A.R.E.S.

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



1. COVID-19 Point-of-Care Testing Devices and Supplies

COVID-19 Point-of-Care Testing devices and supplies to be used for residents and staff will be delivered to all SNFs starting July 20th.  Nursing homes in hot spots ranked as being at risk due to community spread will receive the antigen testing devices first. 

This initiative was announced at a press conference on 7.14.20 by Seema Verma and Admiral Brett Giroir of HHS who explained that these testing devices provide rapid on the spot tests, at a rate of 20 tests per hour.  Critics have pointed out that error rates can be as high as 20%. 

Learn more directly from CMS Administrator Seema Verma today, 7.15.20 at 5:30 PM EDT.  Call 1-833-614-0824, use the Conference ID 9391146Or join the audio webcast by registering here.

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Topics: SNF

COVID-19 FAQs MLN Matters SE20011 Medicare Fee-For-Service (FFS)

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, Jul 10, 2020

C.A.R.E.S.

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


Medicare and Medicare Advantage Plan’s coverage of COVID-19 diagnostic testing for nursing home residents and patients started July 6, 2020 and continues until the end of the Public Health Emergency (PHE).

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Topics: Regulatory

Top 25 Regulatory Updates for the Nursing Home Industry

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Thu, Jul 02, 2020

C.A.R.E.S.

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


Skilled Nursing Facilities are accustomed to the inordinate amount of regulatory oversight and changes that occur in the industry on a regular basis.  

HHI, Harmony Healthcare International (HHI), helps Nursing Homes understand and implement the rules of engagement via monthly site visits, medical record reviews, education and analysis.   This blog highlights most of the recent and upcoming changes that Nursing Homes need to assimilate and implement.

HHI, Harmony Healthcare International (HHI), reinforces the importance of ensuring that the Skilled Nursing Facility is diligent in safeguarding that below directives are not only executed, but that there is documentation present to support compliance within each of these areas (i.e., blanket waivers, flexibilities, regulations and guidance related to this pandemic).

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Topics: Regulatory

Five-Star Health Inspections, Staffing (PBJ and CMI), and Quality Measures

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, May 29, 2020

C.A.R.E.S.

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


Five Star History

Back in December 2008, CMS enhanced the Nursing Home Compare public reporting site to include a set of quality ratings for each nursing home that participates in Medicare or Medicaid.  This Nursing Home Compare website displays a facility “star rating” for the public. 

The goal is to provide residents, families and the public with an easy way to understand nursing home quality and make informed decisions regarding high and low performing facilities.  This is the essence of value-based purchasing (metric, report and a reward).

The Overall Quality Five-Star Rating ranges between of one to five stars is based on the facility’s performance of 3 Domains:

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Topics: Five-Star

Isolation and Quality Care Top 10 Criterion You Need to Know: Coronavirus (COVID-19) Pandemic Repost

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Tue, May 26, 2020

C.A.R.E.S.

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

 


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

Medicare Minute: COVID ICD-10

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Wed, May 20, 2020

C.A.R.E.S.

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

 


Medicare Minute with Kris Mastrangelo: COVID ICD-10

COVID019 ICD-10-WEB
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Topics: Skilled Nursing, COVID-19

Medicare Minute: Spell of Illness

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Wed, May 13, 2020

C.A.R.E.S.

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

 


Medicare Minute with Kris Mastrangelo: Spell of Illness

Spell of Illness-WEB

 

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Topics: Skilled Nursing, COVID-19

Medicare Minute: 3 Night Qualifying Stay

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, May 08, 2020

C.A.R.E.S.

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

 


Medicare Minute with Kris Mastrangelo: 3 Night Qualifying Stay

3NightQualifyingStay-WEB
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Topics: Skilled Nursing, COVID-19

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