Issue: August 1, 2019

Published on August 1, 2019

Articles in this issue:

CMS Issues FY 2020 SNF PPS Final Rule

Author: Carl J. Pucci* Published in Finance & Reimbursement

CMS has issued the FY 2020 Final Rule effective 10/1/19, which updates the Medicare Prospective Payment System, as well as quality reporting requirements for SNFs. Highlights of the Final Rule include the following: 

The attached cover letter from AHCA includes links to the Final Rule, a summary analysis and the final Case Mix Group Rates. In addition, registration links for the virtual PDPM and ICD-10 training resources are provided. 

AHCA is developing a PDPM rate tool, expected later this month. The tool will be accompanied with a respective user manual, as well as a related instructional webinar. Once released, this tool should enable finance staff to project PDPM revenue and confirm related payment remittances. 

NYSHFA will alert members and post the rate tool as soon as it becomes available.

NYSHFA/NYSCAL CONTACT:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36

FQC Continues to Partner with Iroquois Healthcare Association Workforce Investment Organization to Fund and Deliver its Leadership Program

Author: Lisa Volk and Nancy Leveille

The Foundation for Quality Care is excited to announce our continuing partnership with the Iroquois Healthcare Association Workforce Investment Organization (IHA WIO), an initiative funded through the Medicaid Redesign Waiver which aims to retrain, recruit and retain healthcare workers in the long-term care sector, also known as the Workforce Investment Program.

Through this partnership, the FQC will provide three courses during the months of October and November. 

The Iroquois Healthcare Association (IHA) has been designated as a state Workforce Investment Organization (WIO) by the New York State Department of Health (NYS DOH).

IHA has extensive experience with development and implementation of healthcare workforce training initiatives.  IHA is a not-for-profit health care trade organization representing 54 hospitals and health care systems, including 25 nursing homes and 41 home care agencies.  For more information, please visit www.ihawio.org.  The FQC is proud to partner with them on these workforce initiatives. 

For more information on these programs, please click on the link under each course or contact:

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

Are you Ready for PDPM?

Author: Lisa Volk and Nancy Leveille* Published in Clinical & Quality

A new payment system known as the Patient Driven Payment Model (PDPM) takes effect October 1 that will transform the way skilled nursing facilities are reimbursed for Medicare Part A stays. 

Some of the changes coming October 1 include:

If you did not attend our in-person PDPM Academy training earlier this year, I urge you to register now for AHCA’s Virtual PDPM Training. Included with the virtual training is access to all materials on AHCA’s PDPM Academy. The PDPM Academy is where updates, tools, webinars and other supporting materials are housed. AHCA SNF members who attend the Virtual PDPM Training will also be able to join in free monthly PDPM Academy webinars hosted by AHCA.

This training is available to SNF provider members only. The cost for the training – whether first time or repeated - is $350. The training has been approved for 8 NAB CE credits.

Virtual ICD-10 Coding training is also available through AHCA and is equally important to PDPM success and bulk purchases are available. There are two online trainings offered, including:

Members will need to login with their AHCA/NCAL usernames and passwords to register for any of these courses. For assistance obtaining AHCA/NCAL usernames and passwords, please e-mail educate@ahca.orgwith your name and facility contact information. 

PDPM will be here soon. I encourage all members who have not done so to sign up for these courses to be ready for this new Part A payment model. Please contact me if you have any questions.

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

2020 AHCA/NCAL Quality Award Applications and Criteria Series Available

Author: Lisa Volk

Become the best in quality and get ready for the 2020 AHCA/NCAL National Quality Award Program cycle! The applications and the criteria series are available today, August 1, 2019.

Participating in the Quality Award Program has so many benefits:


For further information, visit ahcancal.org/qualityaward.

NYSHFA/NYSCAL CONTACT:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

One Day Educational Workshop-Last Chance for PDPM & Corporate Compliance (Nurse Leadership Pre-Con)

Author: Scott Jackson* Published in Education

On Wednesday, September 25th NYSHFA/NYSCAL will host an pre-conference to the Nurse Leadership Conference with sessions entitled "Last Chance for PDPM! Are Your Ready?" & "Corporate Compliance-Living Under a Microscope in the Year of ROP Compliance". Click here for additional details. 

 

Registration Open! 17th Annual Nurse Leadership Conference

Author: * Published in Education

Registration Open for the 17th Annual Nurse Leadership Conference. The conference will be held at Turning Stone Resort, September 26-27, 2019. Hot topics include: Retention & Competency; Medication Management; Leadership; DOH Updates; QAPI and so much more. Also new in 2019 an Assisted Living Education track! Click here for more details and registration options. 

Resident Admission/Transfer & Discharge Regulations Audio Conference - September 20, 2019

Author: * Published in Education

Join NYSHFA/NYSCAL on September 20th at 10am for Resident Admission/Transfer & Discharge Regulations Audio Conference. This session will provide attendees the latest information regarding admissions/transfers and discharge resolutions on the state and federal level. At the end of the program attendees will be able to identify common mistakes that cause regulatory violations with admission/transfers/discharges. Attendees will understand the importance of discharge planning beginning with the admissions process. 

Click here for details.