This week’s “F-Tags in Review” focuses on F584 which is a combination of seven previous F-Tags. Each of these previous tags correlates to impact the environment in which residents live and have a significant impact on quality of life. The regulations require each nursing facility to provide: The goal of the regulation is to provide residents with an environment that is free from an institutionalized feel. Think of an environment that you would be most…
The U.S. Department of Health and Human Services (HHS) announced the twelfth extension of the Public Health Emergency (PHE) on January 11, 2023. With each PHE extension, several flexibilities and waivers remain in effect. One that has the greatest impact on skilled nursing facilities (SNFs) is the 3-day prior hospitalization requirement for Medicare beneficiaries. Although the 3-day prior hospitalization for Medicare Part A coverage in a SNF continues to be waived, providers must be aware…
There has been much talk about the upcoming proposed switch to the Patient Driven Payment Model or PDPM for reimbursement of Medicare Part A patient stays in Skilled Nursing Facilities (SNFs). The proposed change is effective on October 1, 2019. The model includes the per diem payment as the sum of five case-mix adjusted clinical components based on the patient characteristics and a non-case-mix adjusted rate for every patient. The case-mix adjusted components include: Physical Therapy…
Sign up today to receive our complimentary newsletter, Guidance on Compliance, with the latest healthcare compliance and risk management information.