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AHCA’s New PDPM Module On Long Term Care TrendTracker Platform Discussed
American Health Care Association Therapy Advocacy Associate Vice President Daniel Ciolek wrote in Provider Magazine (11/1, Ciolek, 151K), "In October 2022, AHCA launched a new Patient Driven Payment Model (PDPM) module on the Long Term Care (LTC) TrendTracker (TT) platform that providers can use to monitor their Medicare Part A compliance risk." Ciolek discussed "why skilled nursing facility (SNF) Medicare compliance programs are important, where AHCA members can access the PDPM TT reports, what data are in the reports, and how the reports can be used for facility- or company-wide Medicare compliance programs."
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In major win for insurer, court rules Genesis must absorb costs of multiple COVID suits
Genesis Healthcare could be on the hook for millions of dollars in potential COVID-19 settlements, following a federal judge’s decision that the skilled nursing giant’s insurer does not have to cover all pandemic-related claims as a single event.
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KMAP Web Update
The KMAP website has been updated with the following updates:
Provider Portal Reference Guide Update
A standard global message has been added to alert providers. A standard RA banner message will appear on those available the weeks of November 22 and 29.
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Clinical Update from KHCA Consultant Linda Farrar
I have to start with sharing my amazing experience over this past week. What a joy it was to share my week with 80+ participants at KHCA DON Bootcamp. Oh my gosh! The speakers were so, so good and all the participants were so eager to learn and grow. Now, let’s all work together to endure and grow together. READ MORE
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Telehealth Visits for Kansans with a Positive COVID-19 Test and COVID Tests Available to you
GoGetDoc is a telehealth provider that has offered to provide $29.00 telehealth visits for Kansans with a positive COVID-19 test. The test can be an at home test, or a test collected at or provided at a pharmacy, local health department, LTCF, or other testing provider.
We are hoping this offers an option for COVID-19 treatment to Kansans who may not have access to a provider within the 5-day treatment window for oral antivirals.
KDHE has developed a poster to let Kansans know they have a telehealth option if they test positive for COVID-19. Click here for more information.
KDHE also has a large number of point of care COVID tests that expire in 2023 that they would like to make available to LTCFs. For facilities that would like to order tests, please use the online survey: Click here
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22 states petition CMS to repeal COVID-19 vaccine mandate for healthcare workers
A coalition of 22 states led by Montana Attorney General Austin Knudsen (R), today formally called on the Biden administration to withdraw its COVID-19 vaccine mandate for nursing home and other healthcare workers, as well as all related guidance.
Attorneys general from Arizona, Louisiana, and Tennessee helped Knudsen lead the effort. Attorneys general from Alabama, Alaska, Arkansas, Florida, Indiana, Kansas, Kentucky, Mississippi, Missouri, Nebraska, New Hampshire, Ohio, Oklahoma, South Carolina, Texas, Utah, Virginia and Wyoming also joined. READ MORE
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Skilled Nursing News Despite federal efforts to curb inappropriate medication use in the nursing home setting, national entities say the overall use of psychotropic drugs in the space remained “high and unchanged” since 2011. READ MORE
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CMS Posts Additional Medicare Program Integrity Manual Updates
Changes Affect SNF Ownership Disclosures and Payment Accounts Beginning December 2022
The Centers for Medicare and Medicaid Services (CMS) provided a summary of updated provider enrollment instructions for Medicare providers, including SNFs. Specifically, it summarizes changes in Chapter 10 of the Medicare Program Integrity Manual instructions pertaining to:
- Ownership disclosures
- Electronic funds transfers (EFTs)
- Special payment addresses
The Effective Date and Implementation for these additional changes is December 5, 2022, and are detailed in CMS Transmittal R11682PI Change Request 12880 issued on November 4, 2022. These changes affect SNF ownership disclosures and payment accounts.
AHCA recommends that SNF administrative and billing staff review the changes in a summary developed by AHCA.
For your convenience, AHCA has merged this new information for the December 5, 2022 effective date to the changes effective January 6, 2023 contained in Transmittal R11701PI Change Request (CR) 12865 that the association announced earlier this week.
Note: A member log-in is required to view the summary.
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Register Today!
Join AHCA/NCAL for the 2022 Population Health Management Summit, December 7-8 at The Gaylord National Harbor in Maryland and learn how to improve quality outcomes for your residents, position yourself well in the market, and manage risk within your community.
As value-based care and risk-based models move into the forefront, adapting these models for success in long term care and assisted living communities is paramount. Discover your options and decide which PHM path is the right choice for you.
Register today and take advantage of everything the summit has to offer!
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𝗩𝗶𝗿𝘁𝘂𝗮𝗹 𝗥𝗲𝘀𝗶𝗱𝗲𝗻𝘁 𝗔𝘀𝘀𝗲𝘀𝘀𝗺𝗲𝗻𝘁 𝗖𝗼𝗼𝗿𝗱𝗶𝗻𝗮𝘁𝗼𝗿—𝗖𝗲𝗿𝘁𝗶𝗳𝗶𝗲𝗱 (𝗥𝗔𝗖-𝗖𝗧®) 𝗖𝗲𝗿𝘁𝗶𝗳𝗶𝗰𝗮𝘁𝗶𝗼𝗻 𝗪𝗼𝗿𝗸𝘀𝗵𝗼𝗽 - 𝗗𝗲𝗰𝗲𝗺𝗯𝗲𝗿 𝟮𝟬𝟮𝟮
Increase your knowledge of clinical assessment and care planning, completion of the MDS, the regulations surrounding the RAI/MDS process, and managing the PDPM by attending an AAPACN Resident Assessment Coordinator—Certified (RAC-CT) certification workshop. Having the RAC-CT credential behind your name shows that you are a knowledgeable and capable MDS professional.
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Webinar: Survey Success! Avoiding Top Citations. Post Survey Activities: Developing Effective Plan of Correction & IDR
12/6/2022 1:30PM-2:30PM
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Webinar: The Proficient Infection Preventionist Series: Astute Survey Preparedness & Application of Infection Control Regulatory Requirements
12/20/2022 1:30PM-2:30PM
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Looking for options for required Staff In-Service?
KHCA’s online learning platform is BACK! We’ve loaded the in-services for SNF and for AL first. Many more education sessions to come.
Questions about education can be directed to Polly Berkley VP of Operations and Education.
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Kansas Health Care Association and the Kansas Center for Assisted Living
1100 SW Gage Blvd. | PO Box 4770 | Topeka, KS 66604
PH: 785-267-6003 FAX: 785-267-0833
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