Harmony Healthcare Blog

MDS Validation Reports and Grouper Accuracy

Posted by The Harmony Team on Tue, Jul 17, 2018


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

Question and Answer with
Sally Fecto Sr. VP Field Operations
Harmony Healthcare International (HHI)

  1. Question: Patient admitted to the facility on 6/27/XX and discharged to the hospital on 7/1/XX. Therapy evaluations were completed on 6/28/XX and therapy minutes are as follows:
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Topics: RUGs

CMS Releases Skilled Nursing Utilization and Payment Public Use File

Posted by The Harmony Team on Wed, Mar 30, 2016

On March 9, 2016, The Centers for Medicare and Medicaid Services (CMS) announced the release of their public data set called the Skilled Nursing Facility Utilization and Payment Public Use File (PUF).  This report is released as part of the Administration's efforts to make the healthcare system more transparent, affordable and accountable.  The Skilled Nursing Facility PUF contains information on utilization, payment, and submitted charges and is organized by the CMS Certification Number, Resource Utilization Group (RUG) and state of service.  The recently released report contains information about calendar year 2013.  CMS acknowledges that this data has limitations, as it does not address the quality of care provided by individual Skilled Nursing Facilities.  The report contains only utilization information and the data is not risk adjusted to account for differences in the underlying severity of diseases of patient populations treated by providers.

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Topics: CMS, RUGs, Payment Public Use File, PUF

Don’t Sweep Bad MDS 3.0 Coding Under the RUGs

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Wed, Aug 14, 2013

The urgency for skilled nursing facility (SNF) staff to ensure coding accuracy and scheduling timeliness with the Minimum Data Set, Version 3.0 (MDS 3.0) is greater than ever. With the need to maintain and improve margins, any guidance provided by the Centers for Medicare and Medicaid Services (CMS) needs to be inspected.

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Topics: MDS 3.0, RUGs

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