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...
Interim Payment Assessment

Interim Payment Assessment

There are situations when a Skilled Nursing provider may complete an assessment after the 5-day assessment.  This assessment is an unscheduled assessment and when deemed appropriate by the provider, may be completed to capture changes in the resident’s status and...