U Can’t Touch This!

U Can’t Touch This!

MC Hammer’s song title, “U Can’t Touch This” comes to mind when I think about ill-doers wanting to steal data and demanding us to pay in order to retrieve and access our own data files! Cybersecurity and Infrastructure Security Agency (CISA) defines Ransomware, “as a...
Medical Review Under PDPM

Medical Review Under PDPM

CMS issued their updated their guidance to Medicare Administrator Contractors (MACs) on November 15, 2019 regarding Medical Review Instructions related to Skilled Nursing Facilities in Publication 100-08 Medicare Program Integrity, Transmittal 924. The effective date...
SNF Requirements of Participation

SNF Requirements of Participation

In October 2016, the Centers for Medicare and Medicaid Services (CMS) published a final rule revising for Medicare and Medicaid requirements of participation (RoP) for nursing facilities. In the July 18, 2019 Federal Register, CMS proposed the rule that will reform...
RAI Manual V1.17.1 Update

RAI Manual V1.17.1 Update

On September 18, 2019, CMS published the updated Resident Assessment Instrument (RAI) Manual V1.17.1 replacement manual pages and change tables. In order to assist providers with accurate clinical category designation under the Patient Driven Payment Model (PDPM), CMS...
What is Your PDPM Transition Strategy?

What is Your PDPM Transition Strategy?

Well my friends, it is time to seriously review your Patient-Driven Payment Model (PDPM) transition strategy.  October 1st  is just around the corner.  Over the past nine months, at Functional Pathways, we have had a robust educational campaign to prepare and position...