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
  • 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
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  • 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...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • Skilled Nursing Facilities have seen a significant increase in Medicare Part A and Part B Therapy denials. The goal of medical review is to determine whether the services are reasonable and necessary, delivered in the appropriate setting, and coded correctly, based on appropriate documentation. The speaker will begin this seminar by discussing recent national trends in Medical Review, reasons for...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • The goal of medical review is to determine whether the services are reasonable and necessary, delivered in the appropriate setting, and coded correctly, based on appropriate documentation. The speaker will begin this seminar by discussing the goals of Medical Review and various Medical Review programs including Recovery Audit Contractor (RAC) and Carrier (Medicare Administrative Contractor or Fi...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • The Skilled Nursing Facility (SNF) “Program for Evaluating Payment Patterns Electronic Report” (PEPPER) was released in April 2014 by CMS. Join Keri Hart, MS, CCC-SLP, CHHRP-QT, RAC-CT, in this in-depth interpretation of the elements of the PEPPER. Keri will detail how to interpret your PEPPER and discuss the practical application of this critical information to your Skilled Nursing Facility’s pr...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • The Skilled Nursing Facility (SNF) “Program for Evaluating Payment Patterns Electronic Report” (PEPPER) was released in April 2014 by CMS. CMS introduced this new annual report for Skilled Nursing Facilities in August 2013. PEPPER data is shared with both Medicare Administrative Contractors (MACs) and the Medicare Recovery Audit Contractors (RACs). This important report details your facility-spe...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • The goal of medical review is to determine whether the services are reasonable and necessary, delivered in the appropriate setting, and coded correctly, based on appropriate documentation. The speaker will begin this seminar by discussing the goals of Medical Review and various Medical Review programs including Recovery Audit Contractor (RAC) and Carrier (Medicare Administrative Contractor or Fi...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • As digitization of the healthcare industry increases, the need to safeguard electronic patient data is also becoming increasingly important. Electronic protected health information (ePHI) is not just in the electronic medical records (EMRs). It also resides in emails, in documents and images on computers, servers, printer hard drives and mobile devices like laptops, cell phones, tablets and USB m...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • Survey preparation is a never ending process and with the new QIS survey process in transition, it represents a new paradigm shift. This presentation will provide insight into key elements, tips and strategies that providers should use as part of their quality assurance survey preparation efforts. Learn from this multi-level licensed nursing home administrator with expertise in regulatory compl...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • This presentation discusses the key elements of a Corporate Compliance program allowing an organization to self-monitor operations on an ongoing basis to ensure compliance with supportive documentation to adhere to applicable laws and the organization’s own policies and procedures. Appropriate for CEOs, CFOs, Administrators, Nursing Management, Direct Care Nurses in a SNF, MDS Coordinators and...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • Improve participation and functional outcomes through creativity out of the gym. Functionally based treatment will ensure patients receive medically necessary physical therapy, occupational therapy and speech services. The presentation reviews practical application to Medicare requirements. 1. Learn to identify creative treatment strategies. 2. Learn to define Medicare coverage and Medicare ...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • Preventing falls in the SNF environment can be a challenge. Learn how to become a fall CSI and inspire your interdisciplinary team to meet the challenge of Falls Reduction. Improve patient care and survey outcomes. 1. Learn to detail the Benefit of Root Cause analysis. 2. Gain an understanding of the Fall Investigation process. 3. Develop a clear understanding of accurate coding in Section ...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • In February 2013, the Office of Inspector General (OIG) released a report entitled Skilled Nursing Facilities Often Fail to Meet Care Planning Requirements, in which they found that 26% of facilities fail to meet care planning requirements. Is your facility meeting federal guidelines for care planning? This presentation discusses the important link between the MDS 3.0, the Care Area Assessments ...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • As an Administrator, CEO or other Executive you are watching the details of the business…patient care, reimbursement, regulatory changes, program development, survey preparation. You most likely have some protocols or steps in place regarding recruiting and hiring processes…but when was the last time you really took a close look at who and how your human capital is being found, hired and retaine...

Harmony Healthcare International
Harmony Healthcare International
SlideShare Presentation
  • This presentation provides a comprehensive review and forecast of the trends in Medicare Medical Review by numerous Medicare Contractors and is appropriate for all SNF Management, nursing staff, and therapy professionals. The presentation provides insight on the tidal wave of newly exposed compliance issues at the eye of the storm, leading to remote and on-site audits in the long-term care indust...

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