Weekly Roundup - Alabama Nursing Home Association
Contents
1. Please see the attached flyer for more details Medicaid Cost Reports Due September 15 The Alabama Nursing Home Association is collecting Medicaid cost reports for analysis by our independent reimbursement consultant Dave Bishop As in the past our reimbursement consultant will provide you a detailed analysis of your costs compared to the costs of other facilities of a similar size ANHA cannot stress enough the importance of sending in your cost report In order to negotiate with Medicaid on various issues we need to have accurate information concerning the profession This information has proved very beneficial in the past Page 2 of 7 Please send a copy of your 2013 Medicaid Cost Report to kmagdon anha org or by mail to Alabama Nursing Home Association 4156 Carmichael Road Montgomery Alabama 36106 ATTN Katrina Magdon NATIONAL NEWS Important BFCC QIO Updates and KEPRO Contact Information The Centers for Medicare amp Medicaid Services CMS recently restructured the Quality Improvement Organization QIO Program The attached letter provides important information regarding these changes and KEPRO s contact information CMS S amp C Memo Released on MDS 3 0 Discharge Assessments The Centers for Medicare and Medicaid Services CMS has issued a S amp C memo entitled Completion of Minimum Data Set MDS 3 0 Discharge Assessments for Resident Transfers from a Medicare and or Medicaid Certified Bed to a Non Certi2. SNF e Plans for home care if any e Ifthe reason for continued need for services is a condition that arose after admission to the SNF this must be indicated and e A dated signature of the recertifying physician or NPP To obtain a complete copy of the MLN Article go to http www cms gov Outreach and Education Medicare Learning Network MLN MLNMattersArticles Downloads SE1428 pdf STATE NEWS Update from Alabama Medicaid Agency on Handling of Resident Funds Beginning September 15 each nursing home is expected to begin working by the requirements set forth in the Medicaid Alert Handling Funds Following the Death of a Medicaid Eligible Resident which was sent out on August 20 2014 With this date quickly approaching the Alabama Medicaid Agency would like to offer each facility the opportunity to email any questions they may have about this alert to Codie Rowland Medicaid Alabama Gov Please submit all questions by September 30 2014 Once this deadline has passed the questions will be compiled into one standard Question and Answer Q amp A document and answered by the Agency The Q amp A document will be made available to all facilities via Medicaid s website The Agency will send out a notice when the Q amp A is posted The purpose of the Q amp A is to ensure all facilities are receiving the same advisement on these issues and will handle them accordingly Medicaid Alert Electronic Upload and Submission of Med
3. Weekly Roundup Reporting the state and national long term care news Please disseminate relevant information to the appropriate department gAdministration qNursing qDietary gActivities q Social Services qRehabilitation qHousekeeping q Maintenance q Laundry Friday September 12 2014 ANHA NEWS ANHA Office Schedule for Annual Convention The Alabama Nursing Home Association office will be closed Monday September 15 through Friday September 19 for the Annual Convention and Trade Show The office will re open at 8 00 a m on Monday September 22 Also the Weekly Roundup will not be published next week Handouts for Annual Convention Handouts for the 2014 ANHA Annual Convention are now available on the Association s website www anha org Be sure to download and print these handouts prior to the convention and remember to bring them with you to the convention ANHA 2014 Activity Social Services Annual Convention Make Room Reservations Now Join ANHA as we present the 2014 Activity Social Services Annual Convention October 22 24 at The Hyatt Regency Wynfrey Hotel in Birmingham This year s convention is packed with great educational offerings for ALL nursing home staff Continuing education will be offered for activity professionals 14 hours social workers 14 hours nursing home administrators 14 hours and nurses 16 8 hours During the convention we will hold the Annual Activity Social Services Auxil
4. ervation space all participants are encouraged to make their overnight reservations by OCTOBER 8 After this date rooms from our block which are not reserved will be released for general sales to the public and availability cannot be guaranteed Please see the attached flyer for more details 2014 ANHA Owners Meeting amp Educational Symposium October 26 29 Make Room Reservations Now Sponsored by American Medical Technologies Senior Care Pharmacy Arthur J Gallagher amp Co Sherlock Smith amp Adams Associated LTC Insurance Company Starnes Davis Florie LLP Gericare Medical Supply Restore Therapy Services Healthcare Services Group Inc Join ANHA for the 2014 Owners Meeting and Educational Symposium The event will be held October 26 29 at the Beau Rivage in Biloxi Mississippi The annual owners meeting and lunch will be held on October 28 ANHA will hold its annual Board Retreat and planning session on October 29 Overnight group rates have been negotiated with the hotel for this meeting at a rate of 98 per night including the resort fee To make overnight reservations please contact 888 567 6667 and identify yourself as being part of the Alabama Nursing Home Association The Beau Rivage must receive your reservations by September 26 2014 in order to receive the special group rate This entire event has been approved for a total of 4 5 hours of continuing education credit for nursing home administrators
5. fied Bed http www cms gov Medicare Provider Enrollment and Certification SurveyCertificationGenInfo Downloads Survey and Cert Letter 14 43 pdf This memo provides reinforcement of the requirement for MDS 3 0 Discharge assessments to be completed when a resident transfers from a Medicare and or Medicaid certified bed to a non certified bed including when housed under the same certified facility Discharge assessments are required assessments and are critical to ensuring the accuracy of Quality Measures QMs and in aiding in resident care planning for discharge from the certified facility The memo also informs the RAI User s Manual Version 1 12 is scheduled to be posted to CMS Nursing Home Quality Initiatives website http www cms gov Medicare Quality Initiatives Patient Assessment Instruments NursingHomeQualityInits MDS30RAIManual html on or about September 5 2014 Release of Learning Tool on Building Respect for Lesbian Gay Bisexual Transgender LGBT Older Adults The Centers for Medicare and Medicaid Services CMS has issued a S amp C memo related to the release of a learning tool on building respect for Lesbian Gay Bisexual Transgender LGBT Older Adults The training tools are free and targeted for use by long term care providers There are six on line training modules each lasting about 10 minutes Each addresses the needs and rights of older LGBT adults in long term care A copy of the S amp S memo can be
6. found at http www cms gov Medicare Provider Enrollment and Certification SurveyCertificationGenInfo Downloads Survey and Cert Letter 14 42 pdf CMS Revises SNF Certifications and Recertification MLN Article The US Department of Health and Human Services Centers for Medicare amp Medicaid Services CMS has recently updated its Medicare Learning Network MLN Article SE1428 Comprehensive Error Rate Testing CERT SNF Certifications and Recertifications which alerts SNFs that a major reason for denial of claims is failure to obtain certification and Page 3 of 7 recertification statements from physicians or non physician practitioners NPPs The routine admission order established by a physician is not a certification of the necessity for post hospital extended care services according to CMS An acceptable certification statement must contain e The individual needs skilled nursing care or other skilled rehabilitation services e Such services are required on a daily basis e Such services can only practically be provided in a SNF or swing bed hospital on an inpatient basis e Such services are for an ongoing condition for which the individual received inpatient care in a hospital and e A dated signature of the certifying physician or NPP An acceptable re certification statement must contain e The reasons for the continued need for post hospital SNF care e The estimated time the individual will need to remain in the
7. iary General Business Session and officers will be elected for 2015 The Activity Social Services Auxiliary Nominating Committee is charged with the task of collecting the names of individuals interested in serving the Auxiliary Association in a leadership role The Committee is accepting nominations for the following positions e Vice President e Secretary e Treasurer If you are interested in one of the above positions or if you have additional questions please contact Ina Brown ina tlcnursingcenter com or Endya Gibbs egibbs ballhealth com Elections will be held during the General Business Session of the Activity Social Services Auxiliary Annual Convention on Thursday October 23 at 8 00 a m at The Hyatt Regency Wynfrey Hotel in Birmingham Page of 7 Host Hotel Reservations for 2014 Activity Social Services Convention The newly renovated Hyatt Regency Birmingham The Wynfrey Hotel will be the host hotel for this year s convention Reservations can be made by calling the hotel at 800 233 1234 or online at www hyattregencywynfrey com and using code AAS4 The following rates have been negotiated with the Hyatt Regency Birmingham The Wynfrey Hotel for our 2014 Activity Social Services Annual Convention Attendees e 140 per Standard Double Room e 170 per Concierge Level Room Based on space availability these rates will be offered one day before and following the meeting dates To ensure availability of res
8. ical Records Changes have been made to allow Long Term Care Hospice PEC Swing Bed and Inpatient Psychiatric Providers to attach and upload medical records via the Medicaid Interactive Web Portal eliminating the cost of mailing documents in for processing A secure logon or access to Page 4 of 7 the Medicaid Interactive Web Portal must be established if one does not already exist to access this new attachment option Documents may be uploaded two different ways e Medicaid Interactive Web portal preferred https www medicaid alabamaservices org ALPortal Account Secure 20Site tabId 66 Defa ult aspx e Fax information in for processing bar coded cover sheet required Documents must be in a Portable Document Format PDF for upload through the Medicaid web portal If you do not currently have the ability to create PDF versions of medical records you may perform an internet search and find free downloadable utilities that can be installed to create a PDF For your convenience HP is including a list of three PDF creation utilities that can be installed to create PDF documents at no charge e PrimoPDF http www primopdf com Solid PDF Creator http www freepdfcreator org e PDF24 http en pdf24 org creator html Once a PDF utility has been successfully downloaded and the PDF document created providers should follow these steps to upload documentation for review 1 Log on to Medical Interactive Web portal http
9. mportant to start collecting data to establish a solid baseline and set a target for improvement Keep your workbook up to date on a daily or weekly basis and look at data often to support a rapid cycle quality improvement project This website https www nhqualitycampaign org goalDetail aspx g hosp tab2 allows you to download the data tracking tool Contact the AE Helpdesk with any questions at help nhqualitycampaign org Boost Your CEU Count with Constituency Education Programs at the AHCA NCAL Convention In about two months thousands of long term and post acute care professionals along with speakers professional and peer educators leaders and exhibitors from across the country will Page 6 of 7 convene at the Gaylord Resort amp Convention Center just outside Washington D C for the AHCA NCAL 65 Annual Convention amp Expo In addition to this year s general and daily education sessions attendees can boost their CEU count by attending one of several specialized Constituency Education programs These programs target key topics and are ideal for specific audiences e Assisted Living Professionals 8 Annual NCAL Day e ID DD Providers Leading the Charge for Compassionate Care A Day for Intellectual and Developmental Disabilities Residential Services Providers e Rehabilitation Therapists Clinicians Nurses Administrators Billing Reimbursement Specialists and Contrac
10. s www medicaid alabamaservices org ALPortal Account Secure 20Site tabId 66 Defa ult aspx 2 Select Trade Files Forms Forms Name field select a form from the drop down list and click on Search The following is a list of forms available for selection a LTC Hospice Records b LTC Records c LTC PEC Swing Bed Records d LTC Psychiatric Retrospective Review Records NOTE The Swing Bed Records and PEC Records forms are being replaced by the PEC Swing Bed form The Psychiatric Records and Psychiatric Retrospective Review forms are being replaced by the Psychiatric Retrospective Review Records form 3 Complete all fields record ID field will auto populate Required fields are indicated with an asterisk 4 Click on Browse and select the required medical records documentation from your network drive or PC and select Submit 5 A message will be generated that states your form was submitted successfully at the top of the page 6 A barcode coversheet is generated and will be displayed 7 Select the Print Friendly View button to print the barcode coversheet or to save as a PDF A copy of this barcode coversheet should be saved in the event additional documentation is required Page 5 of 7 If a PDF document of the medical records cannot be created information may also be faxed in for review A fax cover sheet will be required with each submission providers should follow the instructions below to fa
11. t Therapy Executives and Providers The Critical Role of Rehabilitation Therapy in the SNF PPS Post Acute Reform and Long Term Care e Procurement Professionals Procurement Professional Symposium e NFP Providers Living the Mission A Day for Not for Profit Providers For information or to register visit www AHCAconvention org or www NCALconvention org CALENDAR OF EVENTS Date Event Location September 12 ANHA Region IV Act SS Golden Corral Auxiliary Meeting Oxford RSVP Brittney Denny 256 362 4197 September ANHA Annual Convention Hyatt Wynfrey 15 18 Birmingham September 15 ANHA Convention amp Education Hyatt Wynfrey Committee Meeting Birmingham September 16 ANHA Executive Board Meeting Hyatt Wynfrey Birmingham September 16 ANHA Trade Show Hyatt Wynfrey Birmingham Alabama Nursing Home Association Time 12 00 p m 10 00 a m 10 00 a m 4156 Carmichael Road Montgomery AL 36106 PH 334 271 6214 FAX 334 244 6509 Links Alabama Nursing Home Association http www anha org AL Board of Examiners of Nursing Home Administrators http www alboenha state al us AL Dept of Public Health http www adph org CMS http cms gov Page 7 of 7
12. x documentation 1 Follow steps 1 7 documented above 2 Fax the required medical records documentation with the barcode coversheet on top of the documentation to 334 215 7416 Include the bar coded cover sheet with each submission for the same recipient 3 Do not fax double sided pages 4 Do not fax multiple sets of records at the same time each fax should be sent separately The bar code cover sheet is required for each fax submission for the same recipient A fax submission cannot be processed without the bar coded cover sheet DO NOT place anything on the bar code on the cover sheet or alter it in any manner Providers with questions concerning the upload of medical records should contact one of their Provider Representatives A link to the Provider Representative s contact information may be found at the following link http www medicaid alabama gov CONTENT 8 0_Contact 8 2 6 1 Provider Reps _Gl aspx FACILITY NEWS Facility News is posted on www anha org Articles posted this week include e Birmingham Nursing Home Earns Two Quality Designations e Difference Maker Elsie Jones Using Her Talents to Help Others OTHER NEWS Track Hospitalizations with Advancing Excellence Tracking Tools The Advancing Excellence AE hospitalization tracking tools allow you to document your work monitor outcomes and processes related to those outcomes Data driven quality improvement projects require ongoing data collection and analysis It is i
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