“The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health and Human Services (DHHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). These guidelines should be used as a companion document to the …
Blogs on Holiday Break – We’ll Be Back Soon!
We’re taking a break for the next two (2) weeks but don’t worry, we’re still monitoring all of the news that is important to our readers – that never takes a break. Blog posts will return on January 4, 2021. In the meantime, the Selman-Holman blog is available for you to review current and past posts. You can scroll through …
Recent COVID-19 Updates & Information
The Texas Health and Human Services Commission has published an Infection Control Basics and Personal Protective Equipment for Essential Caregivers guide for nursing homes, assisted living facilities, intermediate care facilities, hospices and home and community-based services group homes. This is an 18-page guide with a date of November 9, 2020. Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing …
New Codes for COVID-19
In an unprecedented move, the CDC has approved new codes for COVID-19 effective with dates of stay January 1, 2021 or later. Code changes are reserved for October 1 each year with April 1 as a date for emergency changes. April 1, 2020 was the effective date for the U07.1 code for COVID-19. New codes effective January 1 include J12.82, …
NEW: Free PDGM grouper tool from Selman-Holman & SimpleLTC
Our new PDGM grouper allows you to project Health Insurance Prospective Payment System (HIPPS) codes for expected revenue. Now you can easily project a HIPPS code based on the data at the beginning of the billing period, allowing for faster RAP submissions. The dollar amounts will be calculated based on the patient’s zip code. There is an indicator warning when …
COVID-19 Updates for Thanksgiving Week 2020
I hope that everyone had a safe holiday week! I’m putting these updates into a digest form so you can see what happened last week regarding COVID information. Updated Strategies for Optimizing the Supply of Facemasks (CDC) — This guidance has been updated to include the following: Added considerations for returning to conventional capacity practices Conventional Capacity Strategies Clarified healthcare …
CMS to Retire the Original Compare Tools on December 1st
CMS will retire the original Compare Tools on December 1st. Use Medicare.gov’s Care Compare to find and compare health care providers. In early September, the Centers for Medicare & Medicaid Services (CMS) released Care Compare on Medicare.gov, which streamlines our eight original health care compare tools. Since then, you’ve had the opportunity to use and familiarize yourself with Care Compare …
[On-demand webinar] Operationalizing the RAP 2021
The RAP will not provide any payment to agencies beginning January 1, 2021, but agencies may be paying CMS 20% of their payment if they do not submit within 5 days after the SOC. The requirements are not the same, but certain elements leave agency leaders scratching their heads. In this free, on-demand webinar, Lisa presents the new requirements and …
NEW: CMS COVID-19 Nursing Home Resource Center
The Centers for Medicare & Medicaid Services (CMS) launched a new online platform – the Nursing Home Resource Center – to serve as a centralized hub bringing together the latest information, guidance and data on nursing homes that is important to facilities, frontline providers, residents and their families, especially as the fight against coronavirus disease 2019 (COVID-19) continues. Previously, individuals …
Breaking News: Incentive Payments to Nursing Homes Curbing COVID-19 Deaths and Infections
Just a few minutes ago, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced it will distribute approximately $333 million in first round performance payments to over 10,000 nursing homes. These nursing homes are being recognized for demonstrating significant reductions in COVID-19 related infections and deaths between August and September. “These …