Resource Library

The LTC Resources you need… at your fingertips!

Medicare Part A, Medicare Part B, MDS, Survey, Case Mix and more…

Resource Library Contents are available to ALL Members… Basic (Free), Individual and Facility.

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Manuals:

• Medicare Part A Rules
  • SNF Medicare Part A
• Medicare Part B Rules (SNF, Hospital Outpatient)
• State Operations Manual (New Manual as of 11/2017 – All new F-Tags)
• RAI Manual
  • Final RAI Manual for October 2017
• Transmittal 179 – Jan 14th 2014 Update for all practice settings
• ICD-10 CMS Look Up Tool
• QM and QRP Manual – See Toolbox
• Visit the Therapist Toolbox for additional content

MDS 3.0 Resources:

• RAI Manual
  • New Manual Release for October 1, 2019 (Released 5/20/19)
  • Current Manual:
    • Release for October 1, 2018
    • New Section GG for October 1, 2018 – See Toolbox
• Section GG Self Care and Mobility Decision Tree – See Toolbox
• Section G Balance and ROM
• Section O Therapy Days and Minutes
• Section O: Restorative Nursing
• Therapy RUG Requirements
• MDS 3.0 Forms – See Toolbox
• PPS MDS and Payment Schedule
• Visit the Therapist Toolbox for more additional content

Reimbursement – Medicare Part A:

• 2020 SNF PPS Final Rule – Released 7/30/19
• 2020 SNF PPS Proposed Rule – Released 4/19/19
• 2019 SNF PPS Final Rule (FY 2019) Released 7/31/18
• 2019 SNF PPS Proposed Rule (FY 2019) Released 4/27/18
  • New Part A Payment Model Proposed for 10/1/19 – Patient-Driven Payment Model
    • Home Page
    • Rule/Document
    • Acumen Technical Report – See Toolbox
• 2018 SNF PPS Final Rule (FY 2018)
• **New 4/28/17 – Proposed SNF New Payment Model – No RUGS
• 2018 SNF PPS Proposed Rule (FY 2018)
  • 2017 SNF PPS Final Rule (FY 2017) PDF Version (See Toolbox for Rates)
  • 2017 SNF PPS Proposed Rule (FY 2017)
  • 2016 SNF Final Rule (FY 2016)
  • 2016 SNF PPS RUG IV Rates
  • 2016 SNF Proposed Rule (FY 2016)
  • RUGS IV 2015 Rates
  • 2015 SNF Final Rule 
• PPS MDS and Payment Schedule
• Advanced Beneficiary Notice – See Toolbox
• Visit the Therapist Toolbox for additional content

Reimbursement – Medicare Managed Care / HMO:

• CMS Memo 9/26/19 Regarding Manager Medicare MDS HIPPS Codes – PDPM
• CMS Memo 7/1/14 Regarding Managed Medicare MDS HIPPS Codes
  • Recent Memos can be found in the Toolbox
• Visit the Therapist Toolbox for more in-depth info on each topic

Reimbursement- Medicare Part B:

• Physician Fee Schedule
  • 2020 – Proposed Rule  – Released 7/30/19
  • 2019 – Proposed Rule     |     Fact Page
  • 2018 – Final Rule
  • 2018 – Proposed   | CMS Fact Sheet
    • 2017 – Final Rule
    • 2016 – Final Rule
    • 2015 – Final Rule
    • 2014 – Final Rule
• Physician Fee Schedule LOOK UP TOOL
• Med B Therapy Cap
• 2018 Therapy Cap
• Med B Functional Limitation Reporting / G Codes
• Advanced Beneficiary Notice Forms – See Toolbox
• Visit the Therapist Toolbox for additional content

Clinical Information:

• Objective Tests and Measures
  • Tinetti Test
  • Berg Balance Test
  • Functional Reach Test
  • Additional Tests in Toolbox
• Maintenance Therapy Rules
• Visit the Therapist Toolbox for additional content

Compliance:

• State Operations Manual- Contains SNF Regulations for all states
• Department of Justice Website
• Office of the Inspector General Website
  • OIG List of Active Corporate Integrity Agreements
• Visit the Therapist Toolbox for additional content

Therapy Department Management

• See Toolbox

State Survey Information

• See Toolbox

State Case Mix

• See Toolbox

Nursing Information

• See Toolbox

… New documents added regularly

 

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