Information Letter No. 17-20 - Addressed to Nursing Facility Providers on how to bill for Therapies, Customized Manual Wheel Chairs (CMWC) and Durable Medical Equipment (DME) reimbursed through the Preadmission Screening and Resident Review (PASRR) program at HHSC. Nursing facility providers must review the resident’s Medicaid Eligibility and Service Authorization Verification (MESAV) to verify a service authorization has beencreated and to determine which service code was used. Nursing facility … [Read more...] about Billing for Preadmission Screening and Resident Review Assessments and Services
Hospice Care Website lists 777 Hospice Agencies in Texas
For terminally ill patients and their loved ones, finding the right Hospice care can be a daunting decision. Options for quality and strength of the facility providing end-of-life care in the Texas depends on the hospice chosen, according to data released from Medicare data released by Centers for Medicare and Medicaid Services. (CMMS). Now available to the public, the “Hospice Compare” website — at medicare.gov/hospicecompare — displays information on almost 3,900 hospices nationwide.The … [Read more...] about Hospice Care Website lists 777 Hospice Agencies in Texas
CMS, HHS Roll out Emergency Efforts Help Texas and Louisiana with Hurricane Harvey Recovery
According to reports Hurricane Harvey 25 dumped trillions of gallons of water which required evacuation of thousands of residents from over 95 nursing centers and assisted living communities in Texas. A public health emergencies has been declared in both Texas and Louisana and healthcare providers are temporarily waiving or modifying certain Medicare, Medicaid and Children’s Health Insurance Program (CHIP) requirements to provide immediate relief to hurricane Harvey’s victims in flood devastated … [Read more...] about CMS, HHS Roll out Emergency Efforts Help Texas and Louisiana with Hurricane Harvey Recovery
Updated Preferred Provider Arrangement for All Managed Care Organizations
MCO Preferred Provider Memorandum In the latest memo update for all managed care organization starting in Fiscal year 2018, HSS is providing Guidance on Preferred Provider Arrangements and Network Access Requirements. The Medicaid and CHIP managed care contracts, including the Uniform Managed Care Contract (UMCC), will require that managed care organizations (MCOs) continue to transition provider payment methodologies from volume based payment approaches to quality-based alternative payment … [Read more...] about Updated Preferred Provider Arrangement for All Managed Care Organizations
Palliative Care and Hospice Management and Leadership Intensive on July 28th
AXIS Medical Education and Texas & New Mexico Hospice Organization will host a one day intensive for Hospice and Palliative Care leaders on July 28th. The educational activity will help providers and leaders in Hospice and Palliative care to engage, interact, and focus on timely issues that will lead us into the future. Throughout the intensive, participants will focus on exceptional hospice and palliative care service delivery, regulatory/policy issues, compliance concerns, dialog about how … [Read more...] about Palliative Care and Hospice Management and Leadership Intensive on July 28th
New Process Requires Online Completion of Requests for Preadmission Screening and Resident Review (PASRR) Specialized Services
Information Letter No. 17-12 - DADS is notifying nursing facility providers of the new process for requesting Preadmission Screening and Resident Review (PASRR) nursing facility specialized services. Paper forms are no longer acceptable. Providers have to now log onto the TMHP LTC Online Portal and complete a Nursing Facility Specialized Services (NFSS) form to request the following PASRR nursing facility specialized services. and the information letter details that the Health and Human … [Read more...] about New Process Requires Online Completion of Requests for Preadmission Screening and Resident Review (PASRR) Specialized Services
Ban on nursing home arbitration agreement officially lifted by CMS.
Ban on nursing home arbitration agreement officially lifted by CMS.Upheld by the Centers for Medicare & Medicaid Services under the Trump Administration, according to reports, the ban on nursing home arbitration clauses has been lifted. CMS Issued the 'Proposed Revision Requirements for Long-Term Care Facilities’ Arbitration Agreements on its website. Obama-era regulation previously stopped nursing homes from forcing patients and their families to sign binding arbitration agreements, … [Read more...] about Ban on nursing home arbitration agreement officially lifted by CMS.
New Rule Amendments in Texas Administrative Code (TAC) for NFA’s
Provider Letter No. 17-19 - The Texas Department of Aging and Disability Services (DADS) amended existing rules in 40 TAC Chapter 18, Nursing Facility Administrators (NFAs). These changes were initiated to:• clarify when a NFA may request an informal review;• update the time frame for requesting a formal hearing; and• amend the list of violations that lead to sanctions.There are amendments to 40 TAC §18.52, 40 TAC §18.53 & 40 TAC §18.54.You may access the amended rules for Chapter 18 … [Read more...] about New Rule Amendments in Texas Administrative Code (TAC) for NFA’s
New Billing Codes for Pre-admission Screening and Resident Review (PASSR) DME and Therapy Assessments.
Information Letter No. 17-11 — The purpose of this letter is to notify Nursing Facility Providers (NFs) of the new billing codes for durable medical equipment (DME) and therapy assessments reimbursed through the PASRR program. All PASRR specialized services approved by the Texas Health and Human Services Commission (HHSC) on or after June 1, 2017, must be billed using the billing codes below. … [Read more...] about New Billing Codes for Pre-admission Screening and Resident Review (PASSR) DME and Therapy Assessments.
Nursing Facility Providers Must Allow (DADS) surveyors complete access to their records
Provider Letter No. 17-20 – Electronic Health RecordsNursing Facilities may use the system of medical records that best suits their needs whether it is paper or an electronic system. As directed in the DADS released provider letter, a provider must grant access to any EHR when requested by the surveyor. During the entrance conference, surveyors will verify with the provider the process they will follow in order to have unrestricted access to a resident’s medical records. Please note that … [Read more...] about Nursing Facility Providers Must Allow (DADS) surveyors complete access to their records
