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News related to "case mix"
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Care Centers Asked to Make Annual Case Mix Election
On May 26, 2021 by Jeff Bostic
Care centers are asked to make an annual Case Mix Election to determine the rate for Medical Assistance and private pay residents who stay 14 days or less. Providers choose either to do a Minimum Data Set (MDS) for all such residents and bill based on that case mix or decide not to do MDS and bill at the default (DDF case mix) rate.
CMS Updates Isolation Coding on the MDS
On March 3, 2021 by Kari Everson
The Minnesota Department of Health Case Mix Review team released information on updated documentation requirements when isolation is coded on the MDS under O0100M. This updated information will be effective for all MDS’ with an assessment reference date (ARD) on or after Friday, March 5. In order to correctly code O0100M, Isolation on the MDS, case mix review auditors will check for required documentation in the resident’s medical record. This required documentation includes:
Now Available: Webinar Recording - New Medicare Care Center Payment System
On August 28, 2018 by Jeff Bostic
LeadingAge Minnesota and Health Dimensions Group last week hosted a webinar on the new Patient Driven Payment Model (PDPM), which is scheduled to take effect on October 1, 2019 and will make dramatic changes in how Medicare pays for services in care centers.
Care Centers Will See Funding Increase and New Case-Mix System
On August 1, 2018 by Jeff Bostic
Care centers are set to receive an increase in funding as a result of the final payment and policy rule released today by the Centers for Medicare & Medicaid Services (CMS). The rule also contains a new case-mix model, the Patient-Driven Payment Model (PDPM), that will determine reimbursement levels based on condition and care needs rather than the amount of care provided.
CMS Proposes New SNF Payment System
On May 2, 2018 by Jeff Bostic
The Centers for Medicare & Medicaid Services (CMS) last week issued a Proposed Rule that provides information about the Skilled Nursing Facility (SNF) payment rates for the year that starts on Oct. 1, 2018 as well as proposing an entirely new case mix payment system to take effect on Oct. 1, 2019. CMS will follow up with a final rule on the Oct. 1 rates around Aug. 1.
Survey Says: Adult Day is Growing, Serving More Complex Needs
On April 10, 2018 by Jodi Boyne
The National Center for Health Statistics (NCHS) posted an analysis of data collected as part of the National Study for Long-Term Care Providers. The study is conducted every two years to monitor the trend in supply, provision and use of the major, regulated long-term services and supports.
DHS Updates MnCHOICES Fact Sheet
On March 6, 2018 by Bobbie Guidry
The Minnesota Department of Human Services has updated the MnCHOICES Fact Sheet.