Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Interview with Faye Haverlock, Owner/Manager of Okeechobee Health Care Facility Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Faye Haverlock, Owner/Manager of Okeechobee Health Care Facility in Okeechobee, Florida, in the 2017 AHCA Provider Lounge.  Faye has built a "Go...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Bed Inspections in the nursing home setting are on the rise and are being incorporated into life safety and state health inspections.  The focus is not new to healthcare, as the FDA released hospital guidelines back in 2006. As these principles merge into the post-acute continuum, education and tools are ...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Interview with Jim Gomez, President of the California Association of Health Facilities Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Jim Gomez, President of the California Association of Health Facilities (CAHF), in the 2017 AHCA Provider Lounge.  Jim discusses the new ...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Interview with Loretta Kaes, Director of Quality Improvement and Clinical Services of the Health Care Association of New Jersey Health Care Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Loretta Kaes, Director of Quality Improvement and Clinical Services of the Health Ca...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Interview with Stephen Hanse, President of New York State Health Facilities Association Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Stephen Hanse, President of New York State Health Facilities Association (NYSHFA), in the 2017 AHCA Provider Lounge.  Stephen talks abou...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Interview with Dustin Epstein, Chief Digital Officer at Briggs Healthcare Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Dustin Epstein, Chief Digital Officer at Briggs Healthcare, in the 2017 AHCA Provider Lounge.  Dustin discusses how Briggs Healthcare and Simple LTC a...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Interview with Deb Fournier, Chief Operations Officer at Maine Veterans Homes Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Deb Fournier, Chief Operations Officer at Maine Veterans Homes, in the 2017 AHCA Provider Lounge.  Deb discusses navigating through the new Requir...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Interview with Pam Duchene, VP of Education/Training at Harmony Healthcare International Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Pam Duchene, Vice President of Education and Training at Harmony Healthcare International (HHI), in the 2017 AHCA Provider Lounge.  Pam...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Interview with Mark Parkinson, President and CEO of AHCA Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Mark Parkinson, President of the American Health Care Association (AHCA), in the 2017 AHCA Provider Lounge. Governor Parkinson assures providers that despite the new r...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency The Requirements of Participation raised the bar for the nursing home industry. The 700 plus page document defines the criterion for Quality.  That is, Quality of Care and Quality of Life.  The concept of person-centered care is evolving into a standard versus a notion.  Healthcare Providers are re-think...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency This is the time when friends and family are asking patients and residents to take a trip out of the facility to enjoy some holiday cheer. There are a few comments I must share with you around this scenario.  Practical Matter CriterionIf the patient is on Medicare Part A, do not interpret the...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Today’s blog post is from the Tufts Daily.  Savanah Mastrangelo outlines the 12 points on being healthy from Tom Brady’s new book.  While the readers are interested in his secrets to athletic success, maybe healthcare providers can take a piece from his playbook in the spirit of:

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency We all hear Kris Mastrangelo reinforce the importance of leadership simplifying the message when discussing the fundamental principles of operational success in the nursing home sector. I think the Specialists at  Harmony Healthcare International (HHI) chant this mantra as we drive, fly and ride ...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency The Balanced Budget Act of 1997 (BBA), Public Law 105-33, Section 4432(b) contains the SNF Consolidated Billing requirements that state the SNF itself must submit all Medicare claims for the services that its residents receive.  Except for specifically excluded services that will be highlighted i...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency We spend a great deal of time educating the industry on the accurate coding of Activities of Daily Living of the four late loss ADLs which include:  Bed Mobility Transfers Eating Toileting 

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency The healthcare environment is in a state of perpetual change and as such, the skills and capabilities of those working within the healthcare system require a continual assessment of competence.  Clinicians are responsible for ensuring that they consistently meet competencies associated with profe...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency The new MDS guidelines for coding UTI’s without a in indwelling catheter are causing significant confusion in the industry. The criterion is drastically different than the past definition and many nurses require time to assimilate the change. The refinement is a result of studies depicting the pr...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency A Skilled Nursing Facility underwent an audit which depicted Medicare Part B Maintenance Therapy rendered by a PT Assistant.  The auditors recommended  a governmental pay back for all the revenue billed for these services because “the services must be rendered by a Registered Physical Therapist.

Harmony Healthcare International
Harmony Healthcare International
Blog Post

Legionella Infections

  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Issue:  LD (Legionnaires’ Disease), a severe and sometimes fatal pneumonia may occur is patients who inhale aerosolized water contaminated with the Legionella bacterium.  Of the recent outbreaks, 19% occurred in Long-Term Care facilities while 15% occurred in hospitals.  The reported cases have i...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Every year this is opportunity to evaluate the current census in your facility and obtain Medicare Part A and Medicare Part B insurance for current residents.  This blog provides you with a system and sample roster for your usage.  

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Phase Two of the Requirements of Participation (RoP) is right around the corner.  I extracted the information from the regulation and “distilled and synthesized” for you to assimilate, share with staff and apply in a user-friendly fashion.  Remember: Breathe and Chunk.  (Meaning stay calm and lea...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Section G (Functional Status):  CMS has added four new bullet points to the Coding Tips and Special Populations section for G0110 (Activities of Daily Living (ADL) Assistance):  Some residents are transferred between surfaces, including to and from the bed, chair, and wheelchair, by staff, ...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency The Health Inspection Star Rating is calculated using the results of the last 3 years of onsite inspections and includes both standard surveys and any complaint surveys.  The most recent survey findings are weighted more than the prior two years.  Points are assigned to individual health defici...

Harmony Healthcare International
Harmony Healthcare International
Blog Post
  • C.A.R.E. Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency Risk Areas are present in every healthcare organization.  Skilled Nursing Facilities must perform Annual Risk Assessments to determine, rank and prioritize focus areas for the work plan. Sometimes, this task can be overwhelming. In order to help streamline this task, it is wise to reference The B...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • Can your Skilled Nursing Facility (SNF) afford to provide care to Medicare patients and not receive accurate and appropriate reimbursement? The resources utilized to respond to additional documentation requests, manage denials and the loss of revenue for care provided can have a devastating impact on your facilities budget. In addition, early identification of potential issues and prompt resoluti...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • On July 31, 2014, the Centers for Medicare and Medicaid Services (CMS) issued the Final Rule under the Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities to be implemented on October 1, 2014. This seminar will discuss the impact of Fiscal Year 2015 Medicare payment rate increases for Skilled Nursing Facilities (SNFs) and will review the most recen...

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