Appendix B State RAI Coordinator Contact List Updated

The November update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. To ensure accurate formatting, use a current version of Adobe Acrobat Reader to view this PDF. Web-based or mobile browser plug-ins …

Errata V3.01.4 for MDS Data Specifications V3.01.1 (FINAL), FY2024 ICD-10 Codes for Item I0020B, CAT Specifications V1.06.0 Test Files, and OSA Data Specifications V3.01.0 (FINAL)

Errata V3.01.4 for MDS Data Specifications V3.01.1 (FINAL) is now available for download.  Six issues were added to the errata. As a result, four edits were revised, and there were several mapping changes of items to edits. These revisions will be implemented in production on December 12, 2023, but they …

CMS QSO Memo: Guidance for Federal Monitoring Surveys (FMS)

Memo # Admin Info: 24-05-NH Posting Date 2023-11-20 Fiscal Year 2024 Memorandum Summary • Guidance and Focus Concerns – Identifies the FY2024 and FY2025 Focus Concerns and guidance on how CMS Location staff will conduct Federal Monitoring Surveys (FMS). • LSC and Health FMS Estimates – Communicates estimated FY2024 and …

MLN Network Provider Minute Video: The Importance of Proper Documentation

This video will help providers and physicians understand the need and importance of medical record documentation to support the services billed. Watch this video to learn more about what the CERT program has identified as leading documentation errors, and what providers and physicians can do to more thoroughly document the …

OIG Will Audit PBJ Nurse Staffing Hours

Audit of Nursing Homes’ Nurse Staffing Hours Reported in CMS’s Payroll-Based Journal Nursing homes are required to electronically submit complete and accurate direct care staffing information to CMS’s Payroll-Based Journal (PBJ) system on a quarterly basis. Direct care staff include nurse and non-nurse staff who, through interpersonal contact with nursing …

CMS Final Rule: SNF/NF Facility Ownership and Other Disclosure Requirements

Centers for Medicare & Medicaid Services Rules Medicare and Medicaid Programs: Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies and Real Estate Investment Trusts Filed on: 11/15/2023 at 8:45 amScheduled Pub. Date: 11/17/2023 Permalink Fact sheet …

PDPM Grouper Update

The “PDPM Grouper JAR Package V2.2001.zip” is now available. This V2.2001 release is an update to adjust the OBRA logic for target dates on or after October 1, 2023.    The logic for standalone OBRA assessments will be similar to the interim payment assessments logic. This means that:      If A0310A=01 and A0310B=99, …

WHO Therapeutics and COVID-19: Living Guideline Updated

WHO has updated its guidelines for COVID-19 therapeutics, with revised recommendations for patients with non-severe COVID-19. This is the 13th update to these guidelines. Updated risk rates for hospital admission in patients with non-severe COVID-19 The guidance includes updated risk rates for hospital admission in patients with non-severe COVID-19. The …

OIG General Compliance Program Guidance (GCPG) Updated

The GCPG is a reference guide for the health care compliance community and other health care stakeholders.  The GCPG provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other items useful for understanding health care compliance. The GCPG is voluntary guidance that discusses general compliance risks and compliance programs.  The GCPG …