Harmony Healthcare Blog

MDS Interviews - Medicare Minute

Posted by The Harmony Team on Thu, Mar 29, 2012

MDS Interviews - Medicare Minute

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Topics: BIMS, ARD, MDS Accuracy, PHQ-9, Interviews

CMS Provider Trainining Discusses MDS and RUG-IV Changes

Posted by The Harmony Team on Thu, Mar 22, 2012

 
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Topics: CMS, MDS 3.0, MDS, RUG-IV;, ARD

How to Manage the COT OMRA

Posted by The Harmony Team on Fri, Oct 14, 2011

Effective October 1st, a COT OMRA will be required for patients classified into a RUG-IV therapy category whenever the intensity of therapy changes to such a degree it no longer reflects the RUG-IV classification and payment assigned based on the most recent assessment used for Medicare payment.  CMS stresses that SNFs would be required to complete a COT OMRA only if the intensity of therapy changes to such an extent that the patient's RUG classification, based on their last PPS assessment, is no longer an accurate representation of the patient's current clinical condition.  This change in the therapy intensity may be due to scheduled changes or unscheduled changes.  The COT is indicated when the different RUG category is higher or lower than the RUG category in which the resident is currently placed.

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Topics: CMS, PPS, ARD, COT OMRA

CMS Clarifications on COT OMRA questions and more!!!

Posted by The Harmony Team on Wed, Oct 05, 2011

CMS is  diligently working on tying up any loose ends to prepare the long term care industry for the October 1st changes that are only 4 days away.  CMS has posted a clarification document in regards to the recent comments and question and answer session on the Provider Training Calls conducted August 23 and September 1.  

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Topics: CMS, ARD, COT OMRA

MDS 3.0 RAI Manual Changes

Posted by The Harmony Team on Fri, Sep 09, 2011

The Resident Assessment Instrument (RAI) User's Manual has been updated to reflect changes that take effect on October 1, 2011, the manual version is 1.07 (V1.07). Providers should take extra care to ensure that materials used after October 1st reflect this version of the RAI. Several chapters and appendices include only minor changes and edits however there are several significant changes that providers should make note of. Harmony has outlined some significant updates from Chapter 2 below and encourages clients to contact either their Harmony Consultant or the Corporate Office with any questions, including those regarding how to operationalize the changes.

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Topics: CMS, MDS 3.0, RAI, RAI Manual, PPS, ARD

The Final Rule on PPS

Posted by The Harmony Team on Fri, Aug 05, 2011

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Topics: Final Rule, Medicare, MDS 3.0, PPS, ARD

Rehabilitation Services Impact on Medicaid Case Mix

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Mon, Jun 21, 2010

Impact Rehabilitation Services Impact Medicaid Case Mix:  Rehabilitation Therapists are integral members of the interdisciplinary team as is their participation in the process of resident assessment.  The routine therapy screen assists in identifying areas of decline or the potential for improvement, before loss becomes permanent or opportunities for improvement are missed. 

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Topics: Case Mix, ARD, Rehab Case Management

Case Mix Assessments

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, Jun 18, 2010

Case Mix Assessments:  There is significant opportunity to increase the case mix index with the intervention of rehabilitation during the appropriate assessment windows.  Increased communication between the rehabilitation staff and the MDS Coordinator regarding patients receiving Medicare Part B services has the potential to increase the case mix index in two ways. 

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Topics: Case Mix, OBRA, ARD

Case Mix Assessment Reference Date Management

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, Jun 18, 2010

Case Mix Assessment Reference Date Management:  Increased communication among the nursing staff has the potential to positively impact the case mix index.  The MDS coordinator should ask Unit Managers about ER visits, oxygen use, skin assessments, flu symptoms, respiratory infections or symptoms, weight loss, foot wounds, and transfusions on a regular basis.  These situations often increase physician visits and days of physician order changes or may qualify for a higher category themselves. 

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Topics: Case Mix, ARD

Assessment Reference Date

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, Jun 18, 2010

Assessment Reference Date:  The Assessment Reference Date (ARD) is the date that signifies the end of the look back period.  This date is used to base responses to all MDS coding items.   

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Topics: ARD

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