Harmony Healthcare Medicare Newsletter
Reimbursement and Compliance Consultants
for the Long Term Care Industry
MEDICARE, MEDICAID, MDS 3.0, COMPLIANCE, PPS RUGs III,
THERAPY OPERATIONS and More.
Circulation: More than 17,000 Long Term Care Professionals | |
| HARMONY UNIVERSITY |
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MMQ, MDS, PPS; A United Front
9/29/09 - 10/1/09
AANAC RAC-CT Cert Program
with Rena Shephard
10/14/09
Restorative Nursing
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Look for us at the following Conventions:
New England Alliance of ACHCA - CEO Kris Mastrangelo is presenting on RAC Audits
Portland, ME
ANHA
Birmingham, AL
September 22, 2009
RIHCA - CEO Kris Mastrangelo is presenting on The Final Rule 2009
Warwick, RI
October 2, 2009
AHCA-NCAL
Chicago, IL
October 4-7, 2009 |
AASHA
Chicago, IL
November 8-11 |
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Thrive in this Economy with
Medicare and Medicaid Reimbursement
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Prevent Denials
ID Non-Compliant Charting
Identify BEST Care Strategies
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Join Our List
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Notes from the desk of our CEO Kris Mastrangelo |
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CMS 5 Star Quality Rating
Quality Measures / Quality Indicators
The Five-Star Quality Rating System was created to help consumers, their families, and caregivers compare nursing homes more easily and help identify areas about which you may want to ask questions. This rating system is based on continued efforts as a result of the Omnibus Reconciliation Act of 1987 (OBRA '87), a nursing home reform law, and more recent quality improvement campaigns such as the Advancing Excellence in America's Nursing Homes, a coalition of consumers, health care providers, and nursing home professionals.
Nursing home ratings are taken from the following three sources of data:
- Health Inspections
- Staffing
- Quality Measures
It is critical for facilities to be well versed on the quality measures used in the process of calculating the 5 Star Rating.
CMS describes several limitations with the use Quality Measures:
- Self-Reported Data: The quality measures are self-reported by the nursing home, rather than collected and reported by an independent agency.
- Just a Few Aspects of Care: The quality measures represent only a few of the many aspects of care that may be important to you.
- Not Adjusted for the Population: The quality measures are not adjusted for any special characteristics that residents of a particular nursing home may have, compared to most other nursing homes. More specialized nursing homes may look better or worse with respect to any particular quality measure, depending on how different the population is compared to the residents in most other nursing homes.
The Quality Measures are as follows:
Long-stay Prevalence measures:
- ADL change
- Mobility change
- High-risk pressure ulcers
- Long-term catheters
- Physical restraints
- Urinary Tract Infection (UTIs)
- Pain
Short-Stay Prevalence Measures:
- Delirium
- Pain
- Pressure Ulcers
Harmony will continue to discuss Quality Measures in subsequent newsletters with MDS coding and training tips to ensure accurate coding and measures which represent the facility and improve the 5 Star Qualtiy Rating.
For more infomation on Harmony's 5 Star Rating Audits, email or call the Harmony Healthcare Corporate Offices
(978-887-8919).
Contact us and hear about our Mock RAC Reviews.
Check out our FALL Seminar Schedule
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HARMONY UNIVERSITY
OT, PT, ST, Nsg and Adm. CEUs for ALL Programs!
For a Complete Seminar Listing:
www.harmony-healthcare.com |
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FALL PROGRAMS
9/23/09
MMQ, MDS, PPS: A United Front
9/29/09 - 10/1/09
AANAC MDS RAC-CT Certification Program with Rena Shephard
10/14/09
Restorative Nursing
10/28/09
MDS Basics / Medicare Nursing-Therapy Documentaition in a SNF
For a complete copy of the 2009 Harmony University Calendar or to register:
Contact Sue Pellegrini
1-800-530-4413, Ext. 21 | |
| Harmony's Career Center
Harmony Matches Employers with Employees.
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Administator Available:
Northern Maine
MDSCs Available:
Albany, NY
Open Positions
Harmony is now accepting resumes for OT, PT and ST Professionals to Join our Team. Send your resume to:
MDS Coordinator
Chattanooga, TN
Rochester, NY
Administator
Roanoke, VA
North of Boston, MA
Rehab Professionals
Albany, NY
SNF OT
Mason, OH
Okeechobee Area, Florida
Eagle Lake, ME
Sarasota, FL
COTA: Meredith, NH
SNF PT
Damariscotta, ME
Rochester, NY
Mason, OH
Okeechobee Area, FL
Eagle Lake, ME
PTA: Meredith, NH
Throughout South Eastern MA
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Sincerely,
Elisa Bovee
Director of Education and Training
Harmony Healthcare
1-800-530-4413 x20 | |
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