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CMS Request for 1135 Medicaid Waivers

Angie Szumlinski News

On March 13, 2020, President Trump declared the rapidly evolving COVID-19 situation a national emergency. This bold action enables the Centers for Medicare & Medicaid Services (CMS) to waive certain requirements in Medicare, Medicaid and CHIP under Section 1135 emergency Authority. CMS may grant state and territorial Medicaid agencies a wider range of flexibilities and states may now submit Section …

MDS Updates – Coming October 2020

Angie Szumlinski Announcements, Compliance

Good, bad or indifferent, CMS is changing the MDS effective October 2020! Surprisingly, there will no longer be a section G in OBRA and PPS assessments and will only appear on the Optional State Assessment (OSA). There are tons of questions regarding how this will impact how we document functional status. The limited coding instructions imply we will eliminate the …

Nursing Home Compare is Getting a New Look

Angie Szumlinski Announcements

The CMS website Nursing Home Compare will take on a new look this spring! The new website “Medicare Care Compare” will standardize the eight different existing compare tools (hospitals, nursing homes, dialysis facilities, long-term care hospitals, inpatient rehabilitation facilities, physicians and hospice). There will be a transition period where you can view new tools and the existing tools before they …

Nursing Home Compare Updates!

Angie Szumlinski Announcements

Don’t be left in the dark! Be sure to access the memos from CMS (links below) to learn how the changes in the star rating and the Nursing Home Compare website could impact your operations! There is special attention being focused on Oregon nursing centers so please make yourself and your team aware of these important updates! https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/QSO-20-02-NH.pdf https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/QSO-20-01-NH.pdf

AMDA’s Stance on CMS Red Hand Alert Icon

Angie Szumlinski News

The AMDA has recently written a letter to CMS regarding their stance on the new red hand consumer alert icon on Nursing Home Compare. You can read the letter by downloading the file below. HealthCap recently published a podcast about the CMS “red hand” campaign.

Elderly woman in hospital bed

3 Day Stay

Angie Szumlinski News

If you work in the SNF world you are familiar with the CMS 3-day stay rule, head in the bed for three nights in acute care to qualify for SNF care. The good news is that there is movement underway to revise this criteria and is currently in Washington DC for review. Let’s keep out fingers crossed that we gain …

Podcast Episode 2: The CMS “Red Hand” Campaign

Peter Feeney News, Podcast

What is the so-called “Red Hand Campaign” that was launched by CMS last fall? Join HealthCap CEO Peter Feeney as he talks with HealthCap Risk Managers Cheryl Wilcox, RN, CLNC, RAC-CT, and Dorene Spies, LNHA about the campaign, what it is, how it can affect facilities, and what to do if you receive a “red hand” icon on nursinghomecompare.com.

microphone with headphones for podcast

CMS Podcast Series

Angie Szumlinski Announcements, Podcast

CMS has produced a series of podcasts “Nursing Home Strategy Part I – Strengthening Oversight,” that summarizes what CMS is doing behind the scenes and discusses recently published memos, survey process changes, and “putting patients above paperwork.” This is the first of many podcasts. The podcast largely discussed abuse and neglect, the surveyor’s responsibilities, law enforcement involvement, and reporting consistency …

CMS Ensuring Safety and Quality in Nursing Homes: Five Part Strategy Deep Dive

Angie Szumlinski Compliance

CMS recently blogged about their five-part approach they are using to ensure safety and quality in America’s nursing homes. The approach is: Strengthen Oversight Enhance Enforcement Increase Transparency Improve Quality Put Patients over Paperwork Seema Verma, Administrator, Centers for Medicare & Medicaid Services wrote about the first strategy, Strengthen Oversight, in a recent blog post.