General – Page 6 – Coretactics

Avoid the next QRP 2% Reduction in APU!

Published July 26, 2018 Skilled Nursing Facilities not compliant with the Quality Reporting Program (QRP) requirements will be receiving a 2% reduction in their Annual Payment Update (APU) beginning Fiscal Year 2018 and each subsequent rate year moving forward. Facility’s subject to this reduction received their non-compliance letters from the Medicare Administrative Contractors (MAC’s) earlier…
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Infection Prevention Control Plan

Published June 13, 2018 Preparing for Survey….F800 Infection Prevention and Control Program – Still the Top Deficiency Being Sited It’s not new news that providers were required to have an Infection Prevention and Control Program (IPCP) by Nov. 28, 2016 (Phase I) and an Antibiotic Stewardship program by Nov. 28, 2017 (Phase 2). What is…
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QRP Provider Preview Reports

Published June 11, 20188 SNF QRP Public Reporting is coming! What you need to know about your SNF’s QRP Provider Preview Reports. The IMPACT Act of 2014 requires SNF’s to submit Quality Measure data that relates to the care they provide, and to make that information available to the public. The SNF Quality Reporting Program…
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Five Star and PBJ

Published April 11, 2018 Five Star Staffing Rating: The Transition to PBJ Last week, CMS sent out a memorandum to State Survey Directors providing much anticipated information on the transition to Payroll Based Journal (PBJ) Staffing Measures on the Nursing Home Compare Five Star Rating. Facilities have been submitting staffing data electronically through PBJ since July 2016…
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CMS Revises the SNF ABN

Published April 11, 2018 CMS Revises the SNF ABN. Is Your Facility Issuing Proper Medicare Notices? The new survey process requires facilities to provide surveyors a list of ALL Medicare beneficiaries discharged in the last six months within the first 24 hours of survey. Be prepared! It’s time to unravel the mystery and get a jump…
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Corporate Compliance: Are you ready?

Published April 11, 2018 The NYS OMIG has recently updated their integrity initiatives and work plan for providers and will continue to do so throughout the year in an effort to keep up with the changing Medicaid landscape. One of their major focuses continues to be on collaboration with providers to enhance compliance. Providers are reminded…
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Therapy Cap Repealed by Congress. Will Your Part B Claims Hold Up in Post-Pay Audit?

Published March 26, 2018 How will your Part B therapy claims hold up in audit? Earlier this week, congress passed legislation that permanently repeals the Part B therapy caps. Since 2006, the exception process allowed providers to bill for therapy above cap limits ($2010 annually for PT/ST combined and $2010 annually for OT) with the…
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Where did RCS-1 go?

Published Mach 23, 2018 CMS held an Open Door Forum (ODF) on 3/8/18 leaving providers doubtful that RCS-1 would impact SNF’s this October. A bit if history on this, RCS-1 was initially outlined in a Notice of Proposed Rule Making in May of 2017. The proposal was based on a study CMS had contracted with…
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