What's New...CMS
Updates!
Reporting Reasonable Suspicion of Crime in Long Term Care Update 1-20-2012
Abuse Forms
& Directions
PA Bulletin 12-10-11 - Photo ID
PB-22 ACT 13
Act 13 Mandatory Abuse Form
Department of Health Provider Bulletin #22
Department of Health Provider Bulletin 2011-12
Independent Informal Dispute Resolution (IIDR)
PB-22 Definitions
PB-22 Guidelines
PB-22 Form Instructions
PB-22 Electronic Reporting Form
(New...July 2011)
PA Electronic PB22 Instructions Update
PB-22 Processing Checklist
PA Prohibitive Offenses - Act 13
PB-22 Questions & Answers
(9-16-11)
Reporting Reasonable Suspicion of Crime in Long Term Care Update 1-20-2012
Act 52-PA Patient
Safety Reporting System (PSRS)
Pennsylvania
Patient Safety Authority:
http://patientsafetyauthority.org/Pages/default.aspx
PSRS Training
PA Nursing Home-PSRS FAQs
PSRS Training Manual & User's Guide
Department of
Nursing Care Facility Field Offices - PA
August 2011 DCNF Field Office Information
PA DOH Afterhours Complaint Contact Changes
Directed
In-Service Providers
Approved PA Directed In-service Providers, September 1, 2011
Directed
In-service Approval Criteria
Elder Justice Act
Crime Reporting Poster
Electronic Health
Records
Federal HIT Strategic Plan
2011-2015 http://healthit.hhs.gov/portal/server.pt?open+512&objID=1211&parentname=CommunityPage&parentid=2&mode=2
CMS
ICD-10 Website:
http://www.cms.gov/icd10/
ICD-10
and Version 5010 Compliance Timelines site:
http://www.cms.gov/ICD10/03_ICD-10andVersion5010ComplianceTimelines.asp#TopOfPage
ICD-10 and Version 5010 Transition Timeline
Electronic Health Records/Version 5010 Standards
Final Rule - Health Information Technology Certification
ICD-10 teleconference slides 1-12-11
Electronic Health Records - Intro to ICD-10
Five-Star Rating
System
Five-Star Nursing Home Rating System
User Guide - March 2009
State-Level Cut Point Table - March 2011
Description of Staffing Data
Excel Staffing File - 2011
Technical User's Guide - 2010
Penalty for Falsification - 2011
Local Contact
Agencies
Local Contact Agencies / Nursing Home Transition Agencies (Listed by County)
Medicaid - PA
Medicaid Program: Payment Adjustment for Provider Preventable Conditions
July 2011 Proposed / Revised Rates (Detailed)
July 2011 Proposed / Revised Rates (Condensed)
January 2012 Proposed Rates (Detailed)
January 2012 Proposed Rates (Condensed)
April 2012 Proposed Rates (Detailed)
April 2012 Proposed Rates (Condensed)
Nursing Facility Groups for FY 2010/2011 Rate Adjustments
Nursing Facility Processing of FY 2010/2011 Rate Adjustments
Medicare
Medicare Coverage Database
(11-20-09)
New Hospice Certification Requirements and Revised Conditions of Participation (CoPs)
2011 Update to the Therapy Code List
Medicare Claims Processing Pub. 100-04 Chapter 24 Update for HIPAA 5010 and EDI Enhancements
Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing
Provider Cost Reporting Forms & Instructions
(May 2011)
MLN Newsflash Re: Manual Clarifications for SNF Part A Billing
Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing
(Effective 06-28-11)
Proposed MC-PPS reimbursement for 2012
Medicare - Part B ABN Instructions
(01-01-12)
Medicare Part B ABN - Advance Beneficiary Notice of Noncoverage / Word Document
(01-01-12)
Medicare Part B ABN - Beneficiary Notice of Noncoverage / PDF
(01-01-12)
OIG Work &
Other Action Plans
OIG Podcasts
- Health Care Fraud Prevention Trainings
OIG Work Plan 2012
OIG "Report
Fraud" website http://oig.hhs.gov/
MC Atypical Antipsychotic Drug Claims For Elderly Nursing Home Residents
(05/11)
Proposed
Regulations
F155 Advance Directives
F309 End of Life Care
F322 Naso-Gastric Tubes
(Rescinded until further notice)
Quality Measures
for MDS 3.0
Draft User's Manual Part 1 : Sample/Record Selection Methodology & Logical Specifications
(Posted Oct.
2011)
Draft User's Manual Part 2 : Episode & Stay Determination Logic
(Posted Oct.
2011)
Red Flag Rule
FTC Report
Need to Know
SOM - Regulations
-
Also check
"proposed regulations"
Appendix I
(REV.1, 05-21-04)
Appendix P
(Rev. 42, 04-24-09)...Paginated..."Survey
Process"
Appendix P / Survey Update
(Effective October 1, 2010)
Appendix PP Revision Announcement
(01-07-11)
Appendix PP
(Rev. 70, 01-07-11)...Paginated..."Federal
Regulations"
Appendix Q
Chapter 7 - Final Enforcement
(Effective September, 10, 2010)
Independent Informal Dispute Resolution
(IIDR) (12-02-11)
Special Focus
Facilities (SFF)
Scoring Methodology
Most Current SFF List - January 19, 2012
State Regulations
PA State Regulations
PA Provider Bulletins
Survey Forms
CASPER (OSCAR) - How to Acquire the Report
671 -
LTC FACILITY APPLICATION FOR MEDICARE & MEDICAID
672 with Instructions -
RESIDENT CENSUS & CONDITION OF RESIDENT FORM (10/2010)
801 -
OFFSITE PREPARATION FOR SURVEY
802 -
ROSTER SAMPLE MATRIX (10-2010)
802 Provider Instructions (10/2010)
802 Surveyor Instructions
(10/2010)
803
- GENERAL OBSERVATION OF FACILITY
804 -
KITCHEN / FOOD SERVICE OBSERVATION
805 -
RESIDENT REVIEW WORKSHEET
806a resident -
QUALITY OF LIFE ASSESSMENT, RESIDENT INTERVIEW
806b group -
QUALITY OF LIFE ASSESSMENT, GROUP INTERVIEW
806c family -
QUALITY OF LIFE ASSESSMENT, FAMILY INTERVIEW
807
- SURVEYOR NOTES / WORKSHEET
ENTRANCE CONFERENCE CHECKLIST
(Revised 10/28/2011)
Immunization Instructions
Immunizations