SNF QRP Provider Preview Reports are available to view now for the October 2022 refresh. If you disagree with the quality measure results displayed in Preview Reports, you can request CMS review data used. Cutoff to view reports and request review is August 15, 2022. Data within Preview Reports includes: Quality assessment data submitted from … Continue reading
Today (July 13, 2022), CMS provided Non-Compliance Letters for Quality Reporting Program (QRP) requirements for CY 2021. Non-compliance will impact your FY 2023 Annual Payment Update (APU). Notifications were distributed by Medicare Administrative Contractors (MACs) and placed into CASPER folders in QIES (Hospice and SNFs) and My Reports folders in iQIES (IRFs and LTCHs). Providers … Continue reading
Connecticut Providers- Three days remain to submit assessments to be included in Preliminary Case Mix Roster reports. All MDS assessments must be submitted and accepted by 11:59pm on Friday, July 15th to be included in the Preliminary Case Mix Roster reports. Celtic assists clients to identify opportunities to enhance case mix system processes, improve capture … Continue reading
Providers brace for impact on their overall Five Star ratings with the July 2022 refresh. CMS released the Five-Star Technical Users Guide (available to download here), detailing changes to staffing rating and overall quality rating methodologies. Staffing and retention now have a greater influence on a provider’s ability to achieve a 1 Star gain in … Continue reading
The Centers for Medicare and Medicaid Services (CMS) releases several updates to surveyors; changes will impact providers’ compliance this fall (10/24/22). Revisions from the CMS Memo (QSO-22-19-NH) include: Modifications to guidance surveyors use to identify noncompliance in key areas. Revisions to Complaint and Facility Reported Incidents (FRIs) in Chapter 5 of the State Operations Manual, … Continue reading
Today [July 1, 2022], Connecticut LTC Providers enter a new phase of the case mix system rollout, which puts limits on case mix rate financial gains (maximum $6.50/day) . Are you capturing the right data to optimize your Medicaid revenue for future payments? Celtic assists clients to identify opportunities to enhance case mix system processes. … Continue reading
Connecticut Providers- Are your CMI weights what you anticipated? Final Resident Roster reports are available to retrieve from the Myers and Stauffer portal. This Final Resident Roster Report determines CMI rates for payment dates 7/1-9/30/22. Celtic assists clients to identify opportunities to enhance case mix system processes. We’ve helped our clients improve capture of CMI … Continue reading
Celtic Goes to Capitol Hill– Delivers strategies to improve the current care crisis in skilled nursing and plans to prepare for future staffing needs. Maureen McCarthy, President/CEO and William McCarthy, CFO met with Joe Courtney, top aides for Richard Blumenthal, John Larson and Jim Himes, as well as others, to discuss solutions that would immediately … Continue reading
Unjustified payment denials and lowered rates, add insult to injury for providers with Managed Care beneficiaries. Maureen McCarthy, President and CEO of Celtic Consulting, spoke with McKnights Long-Term Care News about the uneven playing field skilled nursing providers are forced to contend with. Read the full article here. Would you like to learn where to verify … Continue reading
Reminder: On claims, not entering your patient’s name as displayed on their Medicare card puts you at risk to have claims returned as unprocessable. Some patient’s Medicare cards don’t display their full name due to a character limit. You are required to enter the patient’s last name, first name, and middle initial, if any, as … Continue reading