Q4FY21 SNF PEPPER results reveal areas of concern for improper Medicare payments. Administrators can access the Q4FY21 release now, which includes statistics through September 2021. The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a valuable tool to guide auditing and monitoring practices as part of your compliance plan. Are you looking for a … Continue reading
CMS announced on 4/7/2022, it will terminate the identified waivers in two phases over the next 60 days. Click here for source details. Are you wondering what steps you’ll need to take to return to compliance with reinstated constraints? Celtic has helped numerous clients establish successful practices that conform to regulatory requirements. Contact us … Continue reading
After delays from the public health emergency, providers will finally see changes to Quality Measure thresholds in their 5-Star final reports. Act now! Preview reports have been released and offer a brief window for corrections to the final 5-Star reports. Celtic recommends providers examine preview reports (released 3/25/22) and make adjustments to any inaccurate assessments … Continue reading
March 2022 Interim Quarterly Confidential Feedback Reports are available in the QIES/CASPER system. Reports include interim stay-level data for the SNF 30-Day All-Cause Readmission Measure (SNFRM) for 10/1/20-6/30-21. Interim data is not final and subject to change. SNFRM is the only measure currently determining your rankings in the SNF VBP program, you can’t afford to … 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, implement best practices and have helped providers in … Continue reading
Users with active logon ID access to Part A California and/or Illinois FISS DDE must complete recertification process by 4/3/22. Users with Logon IDs that are not recertified in time risk stalled cash flow until access is restored. Be on the lookout for an email with access code next week (week of 3/7/22), and check … Continue reading
Data included in this Final Resident Roster Report will determine CMI rates for payment dates 7/1-9/30/22. Take this opportunity to ensure your MDS assessments captured the most accurate CMI for resident care to optimize Medicaid revenue for future payments. Celtic assists clients to identify opportunities to enhance case mix system processes, implement best practices and … Continue reading
Ultimate Kronos Group (UKG), a software used by SNFs for PBJ submission, was the victim of a ransomware attack on December 11, 2021. CMS announced it will not downgrade affected facilities that miss the February 14, 2022 PBJ submission deadline or submit incomplete information. Impacted Kronos users need to contact CMS by March 1, 2022 … Continue reading
CT Providers: Preliminary Resident Roster reports are available to retrieve from the Myers and Stauffer portal. You have until 2/15/22 to submit corrections. Are you capturing the most accurate CMI for resident care? Celtic supports our clients by identifying opportunities to optimize Case Mix system processes through analysis, targeted education and mentorship. Let’s discuss options … Continue reading
Effective January 16, 2022, the U.S. Department of Health and Human Services renewed the Public Health Emergency (PHE) determination. To prepare for post-pay audits, providers should ensure supportive documentation is captured when using available SNF 1135 waivers. Celtic supports its clients in our rapidly changing industry by providing mentorship on the most up-to-date information. Contact … Continue reading