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.  

C.A.R.E.

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

Interview with Janine Finck-Boyle, Vice President of Regulatory Affairs - LeadingAge

Kris Mastrangelo, President and CEO of Harmony Healthcare International (HHI), interviews Janine Finck-Boyle, Vice President of Regulatory Affairs at LeadingAge, in the AHCA Provider Lounge.   Janine discusses the hot topics facing nursing homes today.  Her top three areas of concern are workforce, reimbursement under PDPM and regulatory changes affecting five-star ratings, including the new abuse icons on Nursing Home Compare.

C.A.R.E.

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

With the advent of PDPM (Patient Driven Payment Model) October 1^st, 2019, two of the hottest questions are:

• Should a Skilled Nursing Facility (SNF) outsource therapy services?
• What is the best fee structure between the Skilled Nursing Facility (SNF) and therapy contractor?

Approximately 50% of Skilled Nursing Facilities (SNFs) use outside vendors to perform Physical, Occupational and Speech Therapy services for the Skilled Nursing Facility (SNF)  patient population inclusive of all payer sources (Medicare Part A, Medicare Part B, Managed Care, Managed Medicare, Medicaid, Private and ACOs).

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.

C.A.R.E.

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

It's October and the phone is off the hook with PDPM questions.  This blog started as a HIPPS informational narrative but morphed relatively quickly into a twitter on steroids PDPM transition blitz of information.  

In true Harmony Healthcare International (HHI) fashion, here are the Top 10 things you need to know about PDPM Transition:

1. PDPM Begins October 1, 2019 with no overlap from RUGS-IV.

C.A.R.E.

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

As the saying goes, “Change is inevitable, except from a vending machine!” 

The transition to the Patient Driven Payment Model (PDPM) certainly exemplifies the constancy of change.  With the transition date nearing, it seems most appropriate to hear from those who are most impacted by the change ~ the MDS Nurse Assessment Coordinators.  So, I reached out to some of the brilliant Nurses with whom I am privileged to know and asked them for their last-minute preparation strategies.

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.

C.A.R.E.

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

With the advent of PDPM October 1^st, 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)

C.A.R.E.

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

As the saying goes, “Change is inevitable, except from a vending machine!” 

The transition to the Patient Driven Payment Model (PDPM) certainly exemplifies the constancy of change.  With the transition date nearing, it seems most appropriate to hear from those who are most impacted by the change ~ the MDS Nurse Assessment Coordinators.  So, I reached out to some of the brilliant Nurses with whom I am privileged to know and asked them for their last-minute preparation strategies.

C.A.R.E.

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

This past year, The Centers for Medicare and Medicaid Services (CMS) made multiple adjustments to the guidelines on Immediate Jeopardy.   

For those new to the industry, Appendix Q is the section of the State Operations Manual (SOM) that defines Immediate Jeopardy and Surveyors use this guidance when making citations during health inspection surveys.