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Auditing and Monitoring
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Appeals and Denied Claims Management
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Case Mix - CO, RUG-III 34 Grouper
Case Mix CT- (Not Case Mix)
Case Mix DC, RUG-IV 48 Grouper
Case Mix GA, RUG-III 34 Grouper
Case Mix HI, RUG-III 34 Grouper
Case Mix ID, RUG-IV 48 Grouper
Case Mix IL, RUG-IV 48 Grouper
Case Mix IN, RUG-IV 48 Grouper
Case Mix IA, RUG-III 34 Grouper
Case Mix KS, RUG-III 34 Grouper
Case Mix KY, RUG-III 34 Grouper
Case Mix LA RUG-III 34 Grouper
Case Mix ME, RUG III 44 Grouper
Case Mix TX, RUG-III 34 Grouper
Case Mix
Consolidated Billing
Home Care
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F-Tag
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IIDR (Independent Informal Dispute Resolution)
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Special Focus Facilities (SFF)
Respiratory Therapy
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KBH Knowledge Center
Survey
Auditing and Monitoring
ABN and NOMNC
Appeal Letter Samples
Targeted Probe and Educate (TPE)
Quality Measure Auditing and Monitoring
Compliance
Auditing and Monitoring
Compliance Manual
Elder Justice Act
HIPAA
OIG (Office of Inspector General)
Policy and Procedure Development
FAQ
COVID-19
Articles
CDC Updates from February 5, 2021 and Later
CLIA (Clinical Laboratory Improvement Amendments)
Employer's Guide to COVID-19 – HR Toolkit CGI Business Solutions
FEMA
Group Activities - COVID-19
Infection Control
PPE (Personal Protective Equipment)
Quarantine and Isolation Guidelines COVID-19
Reopening COVID-19
Restrictions COVID-19
Survey Resources COVID-19
Testing COVID-19
Treatment COVID-19
Vaccinations COVID-19
Visitation COVID-19
Waivers COVID-19
Immunizations COVID-19
Education
Education and Training
Forms
MMQ
PowerPoints 2021
Profiles
SNF QRP (Skilled Nursing Facility Quality Reporting Program)
Tests and Answer Keys
Tools
When
FAQ
What
Efficiency
Respiratory Therapy
FAQ
Top Frequently Asked Questions
Manual
Manuals (Medicare and Rehabilitation)
Medicare Manual
Proposed Rule
RAI Manual
Rehabilitation Manual
SNF Policies and Procedures
MDS
Item Sets
MDS Error Messages
Quality Measures
RAI Manual
Section GG
FAQ
Tools
Rehabilitation
Inpatient Rehabilitation Facility
Regulatory
Five-Star
Forms
MDS Completion
MDS Transmission
Medications - Clinical
OIG (Office of Inspector General)
PEPPER
Re-Admission NQF
Trauma
FAQ
PBJ (Payroll-Based Journal)
Medicare Part A
Advance Directive
Reimbursement
Appeals and Denied Claims Management
Bundled Payment
Case Mix - CO, RUG-III 34 Grouper
Case Mix CT- (Not Case Mix)
Case Mix DC, RUG-IV 48 Grouper
Case Mix GA, RUG-III 34 Grouper
Case Mix HI, RUG-III 34 Grouper
Case Mix ID, RUG-IV 48 Grouper
Case Mix IL, RUG-IV 48 Grouper
Case Mix IN, RUG-IV 48 Grouper
Case Mix IA, RUG-III 34 Grouper
Case Mix KS, RUG-III 34 Grouper
Case Mix KY, RUG-III 34 Grouper
Case Mix LA RUG-III 34 Grouper
Case Mix ME, RUG III 44 Grouper
Case Mix TX, RUG-III 34 Grouper
Case Mix
Consolidated Billing
Home Care
Medicaid
Medicare Part B
MMQ
PDPM
Proposed Rule
RCS (Resident Classification System)
RUGs
Telehealth
Value-Based Purchasing
FAQ
Survey
CMP (Civil Money Penalty)
F-Tag
Facility Assessment
Five Star Quality Rating System Analysis
IIDR (Independent Informal Dispute Resolution)
Infection Control
Mock Regulatory Survey
Survey Pathways
Visitation Guidance
FAQ
Special Focus Facilities (SFF)
Respiratory Therapy
Survey
CMS Resumes Surveys 8/2020
QSO-21-17-NH April 8, 2021
CMS-20055 Kitchen 5.2017
CMS-20089 Medication Storage 2.2017
CMS-20069 Comm-Sensory 5.2017
CMS-20072 General 2.2017
CMS-20076 Pain Management 5.2017
CMS-20070 Dental 11.2017
CMS-20067 Behavioral-Emotional 2.2017
CMS-20056 Med Admin 11.2017
CMS-20093 Tube Feeding 5.2017
CMS-20061 Environment 11.2017
CMS-20057 Resident Council 12.2017
CMS-20091 Extended Survey 1.2018
CMS-20063 Personal Funds 2.2017
Offsite Prep Worksheet 04.2018
COVID-19 Focused Infection Control (FIC) Survey Protocol 12.11.2020
COVID-19 Focused Infection Control (FIC) Survey Entrance Conference Worksheet 11.2020
Entrance Conference Worksheet 11.2020
CMS-802 Matrix Instructions for Providers 11.2020
Infection Prevention, Control & Immunizations 12.2020
Editing and Finalizing Statements of Deficient Practice 04.2018
SNF Beneficiary Protection Notification Review CMS-20052 01.2018
F-Tag Waiver Guide April 2021
Appendix Z Emergency Preparedness 02.21.20
QSO-20-38-NH-revised COVID-19 FIC Survey August 26, 2020
Appendix Q – Core Guidelines for Determining Immediate Jeopardy 03.06.2019
Chapter 7 - Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities SOM 09.28.2016
Immunization Schedule CDC 2.17.2022
Survey Entrance Conference Worksheet January 2022
F-TAGS February 22, 2022
Survey Infection Prevention Control and Immunization January 2022
Survey State Performance Standards System CMS 3.10.2022 FY 2022 pdf
Quality Measure Risk Adjustment
CMP Contacts by State for Civil Money Penalty Reinvestment
Survey Revision History for Process Documents and Files 4.26.22
Survey Revision History for Process Documents and Files REVISED 5.9.2022
Survey Revision History LTC Process 9. 27.2022
Survey Resources with Staff Vaccine Documents Folder 10.5.2022
Survey-Matrix Instructions for Providers CMS 802 October 20, 2022
Survey-LTCSP Initial Pool Care Areas 10.2022
Survey- Fire Safety Evaluation System - 10.26.2022
Survey-Appendix PP State Operations Maual 10.21.22
iQIES Onboarding Process Quick Reference Guide
Special Focus Facilities 2022
Internet Quality Improvement Evaluation System Roles Matrix (iQIES)
Long-Term Trends of Psychotropic Drug Use in Nursing Homes Nov. 2022
Appendix PP - Guidance to Surveyors for Long Term Care Facilities
Survey Data by U.S. State October 2022 (edited 11.30.2022)
SNF VBP Facility Performance FY 2021 11.30.22
SNF VBP IPM Infographic FY 2023 11.30.2022
SNF VBP FAQs SNFs Updated March 2022
Updated CMS Emergency Preparedness 3/26/2021
Advanced Directives Survey and Cert Letter
Legionella Risk in Water Systems
LTC Survey Pathways
LTSCP Initial Pool Care Areas
LTCSP Mapping Document Streamlined
Principles of Documentation
SNF Survey Fines 1.1.18
Survey Checklist
Top Ten Survey Citations – Leading Age, March 2021
Top Deficiencies Mass Senior Care 2018
Veteran Survey Tool 11.24.17
CMS-20058 QAA and QAPI 2.2017
CMP (Civil Money Penalty)
CMP Contacts by State 12.20.2019
COVID-19 Application FAQ
Civil Money Penalty (CMP) Reinvestment Application Template COVID-19 3.13.2020
CMP Contacts by State January 2021
F-Tag
F-Tags Revised List 6.19.2021
AADNS F Tag Tool New
F-Tag Crosswalk
F-Tags List Revised June 21, 2021
Facility Assessment
Facility Assessment Template Word
Five Star Quality Rating System Analysis
New Quality Measures Set to Impact Five-Star Rating System
IIDR (Independent Informal Dispute Resolution)
IIDR and IDR - Revisiting the Independent IDR Process 2020
Infection Control
CMS Initiates Pilot of Infection Assessment & Prevention Improvement Surveys
Mock Regulatory Survey
Exit Conferences - Sharing Specific Regulatory References or Tags
Survey Pathways
LTC Survey Pathways
Survey Pathways 1.13.20
Visitation Guidance
Visitation Guidance
FAQ
Survey Resources
Revision History for LTC Survey Process Documents and Files
Everyone talks about quality but other than patient surveys is there a written definition of quality that does not include cost?
How can a facility with a high QM for pain address the issue when it is based upon the interview?
How many of the new Quality Measures will be phased into the Five Star Quality Rating System and when?
How will the new Quality Measures impact facility’s star rating?
Question: We received our survey results and there is an R1500 tag ? We are wondering if this is a state citation. The severity of it and if it will show up on our Nursing home compare report ?
There has been an increase in survey tags related to incontinence and bladder assessment. How can this be avoided?
What are the six new Quality Measures scheduled to be added to Nursing Home Compare in April 2016?
Where can I find the most up to date information on Nursing Home Quality Initiative?
Which of the new Quality Measures will be omitted from the Five Star Quality Rating?
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Special Focus Facilities (SFF)
SFF Posting with Candidate List - March 2021