In April 2018, the Centers for Medicare and Medicaid Services (CMS) threw yet another curveball at (MDS) coordinators and skilled nursing facilities (SNFs) across the country. CMS’ original plan to introduce RCS-1 (resident classification system, the proposed new federal payment system) was overturned and replaced by the now proposed patient driven payment model (PDPM). This new payment model does have similarities to the previous RCS-1, but there were improvements made to increase payment accuracy.
Long-term care rules and regulations have been changing at a fast and furious pace over the past few years. Often, changes can happen so quickly that it can be nearly impossible to train staff and update processes in time to stay current. We have seen this burden play out across all senior living facilities (SNFs), from independent homes to small and large chains alike.
Richter Healthcare Consultants, a leading provider of clinical, accounting, implementation and revenue cycle consulting services for long-term post-acute care (LTPAC) organizations, is pleased to announce that Jennifer Leatherbarrow, RN, BSN, RAC-CT, QCP, CIC, has been selected by the American Health Care Association to serve as a 2018 Senior Examiner for the AHCA/NCAL National Quality Award Program.
In an effort to fight medical identity theft for people with Medicare, the Medicare Access and CHIP Reauthorization Act of 2015 requires the Centers for Medicare and Medicaid Services (CMS) to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019.
Beginning in April 2018, CMS will start mailing Medicare cards with new Medicare Beneficiary Identifiers (MBIs) to all Medicare recipients. The new MBIs will replace the SSN-based Health Insurance Claim Numbers for transactions like billing, eligibility status and claim status after a transition period.
Since the inception of the Medicare program in 1965, beneficiaries have been identified by a Social Security number-based identifier known as the Health Insurance Claim (HIC) number. This unique identifier has been used to determine the beneficiary for all Medicare transactions such as eligibility, billing and claim status inquiries.As a means to help fight identity theft, The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 requires the Centers for Medicare and Medicaid Services (CMS) to remove the beneficiary’s Social Security number from all Medicare cards by April 2019 and replace it with an identifier that will help to secure the integrity of the beneficiary health data. This new number will be known as the Medicare Beneficiary Identifier (MBI).
Visit Richter Healthcare Consultants at FHCA's Annual Conference & Trade Show in Orlando!
Richter Healthcare Consultants, a leading provider of clinical, accounting and revenue cycle consulting services for long-term post-acute care facilities, ispleased to exhibit and present at the FHCA Annual Conference and Tradeshow July 31 – August 4, 2017 at the Rosen Shingle Creek, 9939 Universal Boulevard, Orlando, Florida 32819.
Topics: News & Events
The Home Health Scheduler is the liaison between the agency, client, caregiver and the payer. Their primary function is to schedule and manage the flow of patient care, ensuring that quality service is provided and patient satisfaction met. The scheduler provides the scheduling and coordination of the daily schedules of the following staff within a Home Health Agency:
- RN Case Manager
- OT, PT, ST
- Home Health Aides
- Social Worker
Home Health Care can be covered through a number of payers; Medicare, Medicaid, Commercial, Worker’s Comp, VA and Private Pay. Payer requirements are very specific with respect to documentation of services provided. To learn more about best practices for clinical documentation of services in a Home Health setting, please take a look at a past blog Best Practices for Documenting Home Care Skilled Care
It's a New Year with a plan for best practices and solutions. If you are a Home Health provider in Ohio,
please take advantage of this opportunity to participate in a webinar in conjunction with
The Ohio Council for Home Care and Hospice.
Join our Home Health Webinar next week!
Topics: News & Events