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 and Non-Members
Members can access the Therapist Toolbox for more in-depth info on each topic below! Use the customized tools in your facility!
Manuals:
- Medicare Part A Rules
- Medicare Part B Rules (SNF, Hospital Outpatient)
- State Operations Manual (New Manual as of 11/2017 – All new F-Tags)
- RAI Manual
- 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
COVID-19 Medicare Part A and Part B Resources:
- Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency
- Click Here for all COVID resources
MDS 3.0 Resources:
- RAI Manual
- MDS Item Sets for 10/1/2020 (See Toolbox)
- ***CMS placed all 10/1/20 MDS changes on hold on 3/19/20 – Read More
- Draft MDS Item Sets for 10/1/2020 (Released 12/20/19) (Zip File with all DRAFT Assessments)
- Toolbox contains all sample Item Sets (NC Comprehensive, NQ Quarterly, OBRA DC, Part A PPS DC, IPA, OSA)
- New Manual Release for October 1, 2019 (Released 5/20/19)
- Current RAI Manual:
- 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 (old)
- MDS 3.0 Forms – See Toolbox
- Visit the Therapist Toolbox for more additional content
Reimbursement – Medicare Part A:
- For all PDPM content go to PDPM Resource Center HERE
- 2021 SNF PPS Final Rule – Released 7/31/2020
- 2021 SNF PPS Proposed Rule – Released April 2020
- Archived:
- 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 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
- 2021 – Proposed Rule – Released 8/4/20
- 2020 – Final Rule – Released 11/1/19 (Unpublished Version)
- 2018 – Final Rule
- 2018 – Proposed | CMS Fact Sheet
- Physician Fee Schedule LOOK UP TOOL
- Med B Therapy Cap
- 2018 Therapy Cap
- Advanced Beneficiary Notice Forms – See Toolbox
- Visit the Therapist Toolbox for additional content
Clinical Information:
- Objective Tests and Measures
- Tests in Toolbox
- Maintenance Therapy Rules
Compliance:
- State Operations Manual- Contains SNF Regulations for all states
- Consensus Statement – APTA | AOTA | ASHA
- Department of Justice Website
- Office of the Inspector General Website
- Visit the Therapist Toolbox for additional content
Therapy Department Management
State Survey Information
State Case Mix
Nursing Information
… New documents added regularly.