Blog – Page 3 – Coretactics

Changes to the 2020 NYS NHQI

Published March 22, 2021 The methodology for the 2020 NHQI has changed but is not currently reflected on the NYS Department of Health website. Two of the measures have been temporarily suspended for the 2020 NHQI: Percent of employees vaccinated for influenza. Timely submission of employee influenza immunization data. As a result, the maximum points…
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3 Things You Need to Know About Care Compare (formerly Nursing Home Compare)

Published December 11, 2020 While all of our hopes are rising for a fresh start to 2021, the star ratings on Care Compare may be bringing new challenges to a number of SNF providers. Last week, CMS announced that they will resume calculating the Quality Measure and Survey components of the Five Star rating system,…
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COVID Reimbursement Tips

Published December 11, 2020 With the rise in COVID cases nationally, endless regulatory changes, reimbursement cuts and soaring costs, it would be wise for skilled nursing leadership to regroup with their operational, clinical and reimbursement teams to review the facilities infection control and 1135 waiver application practices. Coretactics has put together some reference material and…
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Why You Must Avoid Infection Control Survey Issues

Published December 11, 2020 CMS will not be moving their laser focus away from your ability to comply with infection control regulatory guidance any time soon. In a QSO Letter issued June 1, 2020, CMS informed providers they would be receiving enhanced enforcement actions for infection control deficiencies. These actions include heavy civil monetary penalties,…
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Key points with the new CMS Five-Star ratings this week!

Published July 22, 2020The updated July 2020 Five-Star Ratings were posted on CASPER this week. These will be posted for public viewing on Nursing Home Compare (NHC) on or around July 29, 2020. On June 25th, CMS released memorandum QSO 20-34-NH describing the updates to the staffing and quality measures. We have been fielding a…
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The Program for Evaluating Payment Patterns Electronic Report, aka PEPPER is back!

Published July 22, 2020CMS announced recently that the Program for Evaluating Payment Patterns Electronic Report, aka PEPPER, will be available on July 29, 2020 for SNF providers. The July 2020 SNF PEPPER will include Q4FY19 legacy RUG-IV data: Therapy and Non-Therapy RUGs with High ADL, Change of Therapy, Ultrahigh Therapy RUGS, 20- and 90-day episodes…
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THE RACS ARE BACK!

Published July 22, 2020 Just when you thought it was safe THE RACS ARE BACK!!!! On March 30th, CMS suspended most Medicare Fee-For-Service (FFS) medical reviews because of the COVID-19 pandemic. In a recent COVID-19 Provider Burden Relief FAQs, CMS stated that regardless of the status of the public health emergency, pre-payment and post payment…
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NYS DAL

Published December 20, 2019 The DAL dated 11/21/19 from DOH regarding January 30, 2019 census data for case mix adjustment, July 1, 2019 rates.