The CDC released updated findings and recommendations regarding the Duration of Isolation and Precautions for Adults with COVID-19 on July 22, 2020. “Accumulating evidence supports ending isolation and precautions for persons with COVID-19 using a symptom-based strategy. This update incorporates recent evidence to inform the duration of isolation and precautions recommended to … Read More
COVID-19 POC tests and machines coming to nursing homes starting this week
If you listened to the Wednesday, July 22, 2020 CMS COVID-19 Nursing Home Call, you heard Evan Shulman, Director, Division of Nursing Homes for CMS moderating this afternoon’s 30-minute session. It was announcement that nursing homes with a CLIA (Clinical Laboratory Improvement Amendment) certificate would begin to receive 1 of … Read More
SNF patient-driven payment model interrupted stay issue
A new issue is affecting some inpatient hospital and Skilled Nursing Facility (SNF) claims when an interrupted stay is billed at the end of the month. The system incorrectly assigns edits U5601-U5608 (overlapping a hospital claim). If you billed the interrupted stay correctly, and your claim is rejected, modify your … Read More
Tips for the PBJ pro: PBJ reporting is back on track
After a bumpy three-month ride, PBJ reporting is back on track for the quarter. In late March, CMS issued a staffing data submission waiver due to the COVID-19 public health emergency. On June 25, that waiver ended – which means PBJ reporting requirements for the quarter are back in effect. … Read More
SNF PEPPER reports are coming
In case you forgot about your annual PEPPER report, CMS has not. CMS has directed the PEPPER team to resume distribution of PEPPER reports to all post-acute facilities. The SNF Q4FY report will be delivered on July 29, 2020. It was originally scheduled for release on April 6, 2020 but … Read More