OIG Report Released Regarding Nursing Homes in Pennsylvania

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The Office of Inspector General (OIG) posted a report on 11/8/2023 that was rather concerning.  The report was entitled “Pennsylvania Could Better Ensure That Nursing Homes Comply with Federal Requirements for Life Safety, Emergency Preparedness, and Infections Control”.   What is Concerning About this Report? There were a high number of deficiencies identified in the areas of life safety, emergency preparedness, and infection control in the 20 facilities that were selected for survey out of the…

ICD-10-CM and PDPM ICD-10 Mapping: What’s new for Fiscal Year 2024?

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The Centers for Medicare & Medicaid Services (CMS) reviews and updates ICD-10-CM Official Guidelines for Coding and Reporting on an annual basis to ensure accurate and consistent coding practices. These guidelines are applicable starting from October 1, 2023, and ending on September 30, 2024. The update includes the addition, revision, and deletion of diagnosis codes as well as updates to diagnosis coding guidance. The Patient-Driven Payment Model (PDPM) implemented on October 1, 2019, has been…

What is the Right Level of Care?

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Every day there seems to be yet another alternative to level of care for people seeking assistance with healthcare and other essential living needs. While it may be confusing, the wide berth of available services is necessary for people to receive the most appropriate level of care. Let’s look at the services most widely used in healthcare today.  Hospitals Of course this level is self-explanatory. If a patient has an acute (having severe symptoms and…