All MDS assessments must be submitted and accepted by 11:59pm on Friday, October 15th to be included in the Preliminary Case Mix Roster reports. During the Shadow Case Mix System period, all MDS assessments are used to calculate facility specific rates based on the Case Mix Index. Celtic’s best practices have helped providers optimize their … Continue reading
Effective October 1, 2021, MassHealth will require nursing facilities to complete: Items GG0130 and GG0170 Item I0020, including I0020B Item J2000 Item J2100 If response to Item J2100 is ‘Yes’, then Items J2300 – J5000 must be completed Providers should prepare by verifying software setup meets new requirements for entry and transmission on OBRA assessments; … Continue reading
The Connecticut Department of Social Services (DSS) recently announced the Office of Policy Management (OPM) has approved a three-year plan for the implementation of a Medicaid Case Mix Index payment system in Connecticut. The outlined plan includes multiple phases, with full Case Mix implementation scheduled to occur in 2024. Important Dates: CT Case Mix Rollout … Continue reading
Final Resident Roster reports are available to retrieve from the Myers and Stauffer portal. As a case mix consultant to nursing home associations and the State of Connecticut, Celtic has unique insight and helps to position our clients to be successful. Wondering how the CMI payer system will influence your reimbursement and clinical operations? Celtic … Continue reading
Did you receive a letter of non-compliance in your CASPER folder? Check here for source details, they were placed on July 14, 2021. You have until 11:59 PM, August 13, 2021, to request a reconsideration of non-compliance with CMS. Remaining out of compliance will impact your FY 2022 Annual Payment Update (APU). Celtic’s subject matter … Continue reading
CMS announced MACs plan to resume post-payment reviews for dates of service after March 2020. Uncertain how prepared you are for a MAC medical review? Celtic helps our clients establish successful practices to minimize the risk of revenue recoupment and offers support to build strong responses during post-pay audits. Source details available here… Continue reading
The interim final rule with comment period (IFC) details requirements for LTC providers to establish: Policies and procedures which ensure residents and staff have access to the COVID-19 vaccine or information on obtaining the vaccine, and education regarding benefits and risks Documentation of required COVID-19 vaccine education, and whether the residents and staff received … Continue reading
Highlights include: CMS projects an increase in SNF Medicare Part A payments of approximately $444 million, added measures and updates to the SNF Quality Reporting Program (QRP), and expansion of the SNF Value Based Purchasing (VBP) program. Source details are available here… Continue reading
Use this opportunity to ensure you are meeting CMS’s new requirements for notifying residents before transfer or discharge, care planning and MDS timeframes. Click here for source details. Celtic has helped numerous clients establish successful policies and practices during the PHE and is available to discuss your options… Continue reading
Celtic Consulting, LLC, a premier post-acute care advisory firm specializing in clinical operations and regulatory compliance, and the national healthcare group of Marcum LLP, a top-ranked national accounting and advisory services firm, have announced collaborative efforts focused on senior living providers. Forging subject expertise, Celtic Consulting’s thought leadership in performance improvement, and Marcum’s expertise in healthcare compliance … Continue reading