Issue: March 27, 2014

Published on March 27, 2014

Articles in this issue:

Welcome KHCA/KCAL's Newest Staff Member!

Author: * Published in KHCA/KCAL NEWS

Cortni comes to KHCA after nearly eleven years in the corporate finance world.  After work, she enjoys spending time with her friends and loved ones, or singing/acting/dancing on stage in her local community theatre.  She and her husband Jay have a menagerie of animals that keep them busy; but whenever weather permits, they love to go for a spin on the motorcycle or a run in the park.  Cortni is thrilled to become a part of the KHCA family!

Feel free to welcome Cortni at churst@khca.org

KHCA/KCAL Spring Quality Conference- April 22-23, 2014 in Manhattan

Author:

KHCA/KCAL's Spring Quality Conference is coming up soon!  April 22-23, 2014 in Manhattan.  We have a full line up of amazing speakers that are leaders in the industry. 

Not only do we have great education and a full line up of vendors showing off their new products, we are also attending a K-State Baseball Game, brought to you by Key Rehab!

So come on out for great education, great vendors, and great fun at a baseball game!

Register online

KHCA/KCAL Root Cause Analysis Webinar With Linda Farrar

Author: * Published in Webinar

Root Cause Analysis in the dissection of a situation or problem to prevent a recurrence of the problem.  This approach will get to the true root causes of problems.  This presentation will offer the steps of conducting a Root Cause Analysis to enable staff to determine causal factors and develop effective, individualized interventions to prevent recurrence of a problem situation.  

Join us April 9, 2014 at 10:30am for this informative webinar.

Register Online

Mark You Calendars- 2014 Education Opportunties

Author:

Please mark your calendars for these fantastic upcoming education opportunities from KHCA/KCAL

KHCA/KCAL Education

Please contact our new Education Director, Polly Berkley, at pberkley@khca.org with any questions related to education events.

Sunflower State Health Plan- List of Toxicology Labs No Longer Covered

Author:

Effective May 1, 2014, Sunflower State Health Plan announces a list of Toxicology Labs that will no longer be covered. 

Labs that will no longer be covered:

Alere Toxicology
American Institute of Toxicology
Ameritox
Calloway Laboratories
Center for Disease Detection
Dominion Diagnostics
Millennium Laboratories

Please visit the Sunflower Website for more information.

Sunflower State Health Plan- EHR Incentive Program

Author:

An important message from Sunflower:

The deadline for the EHR Incentive Program is March 31, 2014. Eligible Professionals need to have an active KMAP number in order to access and attest for the medicaid EHR Incentive Program.  Providers planning to attest for program year 2013 need to log in to their KMAP account to verify accessibility by March 25, 2014.  This will allow time to address any accessibility issues prior to the March 31, 2014 attestation deadline.

For questions or problems please contact:

KMAP account: Customer Service at 1-800933-6593 Option 8

EHR Provider Support at 1-800-933-6593 Option 7

Email: Kansas_EHR_Provider_Support@external.groups.hp.com

First Quarter United Nursing Facility Call - All SNF Invited

Author: * Published in KanCare News

On April 1, 2014, UnitedHealthcare will host a nation-wide phone call in which all SNFs in the State of Kansas are invited to participate in. 

 

Topic:  Quarterly SNF Meeting

Date:   Tuesday, April 1, 2014

Time:   10:00 am, Central Daylight Time

Meeting Number: 640 968 896

Meeting Password:       1234

 

Agenda Items:

  1. Quarterly Rate
  2. Top 10 Denials
  3. What do we do when Patient Liability doesn't match the letter we have in hand from DCF
  4. Adjustments/Voids
  5. Balancing Remits
  6. Optum Cloud/ UHC Online
  7. PEAK
  8. Q&A

To join online meeting:

Go to https://optum.webex.com/optum/j.php?MTID=mda7596eb5d8424e7e95e29ed5553c9cc

 

$2 Billion Legislation Would Reward SNFs For Reducing Readmissions, Reaching Rate Benchmarks

Author: * Published in AHCA / NCAL NEWS

House and Senate leaders unveiled legislation overnight that encompassed both a one-year sustainable growth rate patch as well as new nursing home legislation that would reward homes for either cutting their readmissions rates or having low rates to begin with.

Read full article

AHCA/NCAL Congressional Briefing- Registration Open

Author:

On May 20 and 22st, AHCA/NCAL hosts the annual Congressional Briefing in Washington, D.C. providing you with an excellent opportunity to meet with your Members of Congress and their staff.  You'll get an update on what's happening on the hill and hear from multiple speakers including key Members of Congress. 

 

See the complete agenda and learn more at cb.ahcancal.org.

National Nursing Home Week- May 11-17, 2014

Author:

 

Celebrate a Hawaiian Theme for  National Nursing Home Week 2014

In Hawaii, the word "aloha" has a deeper cultural significance than a simple greeting or farewell.  In Hawaiian culture it is important to treat yourself and others with aloha, to interact with love and respect and joyfully share life. By applying this spirit of aloha to daily life, the people of Hawaii are encouraged to treat others with deep care, respect and humility, leading to individuals creating a better world. Key concepts of aloha spirit include unity, kindness, truthfulness, humility and patience.

National Nursing Home Week theme for 2014 

"Living the Aloha Spirit"

Need Nursing Home Week "Aloha Spirit" Supplies? AHCA Has The Answer!

Author:

As most all of you know, National Nursing Home Week is May 11-17, 2014.  Get in the Aloha Spirit with supplies from AHCA.

Download Promotion!

2014 AHCA/NCAL Awards Program- Get Recognized!

Author:

It is that time of the year again! AHCA/NCAL Awards Program time!  Below you will find the nomination packets for the 2014 ID/DD Hero of the Year and the Not for Profit Program of the Year awards.  Nomination packets are also posted to AHCA/NCAL Awards Program.  Recognition of all honorees will occur at the AHCA/NCAL 65th Annual Convention, October 5 to 8, 2014, at the National Harbor near Washington, D.C. 

Thursday, May 15, 2014 is the deadline for AHCA/NCAL to receive all of the attached nominations. 

All nominations, in every category, must be typed and submitted electronically or mailed/hard copy.  Faxed nominations are not accepted.

2014 NFP Nomination

2014 ID/DD Nomination

2014-2015 AHCA and NCAL Elections/Solicitation for Candidates

Author:

The American Health Care Association (AHCA) and National Center for Assisted Living (NCAL) are preparing for their 2014-2015 election cycles for the AHCA Board of Governors and NCAL Board of Directors. The AHCA elections are for three officer positions (Chair, Vice Chair, Secretary/Treasurer), one Not for Profit Representative, one Multifacility Representative and three At-large Representatives.

In accordance with the AHCA bylaws, located at http://www.ahcancal.org/about_ahca/Documents/AHCA_bylaws.pdf the AHCA Council of States elects the AHCA officers on an annual basis.  The At-large Representatives are elected on an annual basis as well.  However, the number of At-large seats up for election in any given year is dependent upon the positions available.  Three of the five At-large seats are up for election in 2014.  Two At-large seats will be up for election in 2015.

The Not for Profit, Independent Owner, Regional Multifacility and Multifacility Representatives are elected on an annual basis.  Just like the At-large seats, the specific constituency seats that come up for election varies from year to year.  The Not for Profit and Multifacility Representative positions are up for election in 2014.  The Independent Owner and Regional Multifacility Representative positions will be up for election in 2015.

The NCAL elections are for the three officer positions (Chair, Vice Chair and Secretary/Treasurer) and seven at-large Representatives.  In accordance with the NCAL bylaws, located at  http://www.ahcancal.org/ncal/about/NCALGovernance/Documents/NCAL_bylaws.pdf.  NCAL's Board of Directors and State Leaders elect NCAL's officers and 7 of 14 At-large Representatives on an annual basis.

AHCA/NCAL's Credentialing Committee will conduct the certification process for all candidates seeking office for AHCA and NCAL.  Both elections will take place in October 2014 at the AHCA/NCAL annual convention in Washington, DC.

 


Special Offer on AHCA/NCAL Gero Nurse Prep

Author: * Published in AHCA / NCAL NEWS

Today is Certified Nurses Day!
To celebrate we are offering $100 off the course fee!

Hurry! Offer ends March 31, 2014!

Gero Nurse Prep is a proven online certification training program that prepares RNs to become board certified in gerontological nursing.

Why is this important to you?

Act Now!

Visit www.geronurseprep.org today to register your RNs. You can also like us on Facebook and follow us on Twitter.

Did You Know?

More information:

CMS Releases New QAPI Tools

Author: * Published in CMS NEWS

The Centers for Medicare and Medicaid Services (CMS) released several new Quality Assurance and Performance Improvement (QAPI) process tools.

In a collaborative effort with the University of Minnesota, Stratis Health, subject matter experts, consumer groups, and nursing home stakeholders, CMS created these tools that may be used to implement and apply some of the basic principles of QAPI.

A Process Tool Framework has been created to crosswalk each CMS Process Tool to the five QAPI elements. This framework includes a description of the purpose or goal for each tool that is hyperlinked within the framework. A total of 38 QAPI tools are provided via the document!

None of the tools are required for QAPI implementation; however, facilities may find them helpful in their QAPI preparation and efforts.

The QAPI regulation for nursing homes has not yet been published — we anticipate this new requirement will go into effect in 2015. Providers are strongly encouraged to not wait until 2015 to begin working on the transition from Quality Assurance and Quality Assessment to Quality Assurance and Performance Improvement. While the specific QAPI regulations will not apply to new licensed comprehensive home care providers, the concepts are embedded in their new "Quality Management" requirement.

View QAPI Tool

CMS SC Emergency Preparedness Initiative: SC Emergency Perparedness Checklist Revision

Author:

On Feb. 28, CMS issued a Survey and Certification Emergency Preparedness Initiative: S&C Emergency Preparedness Checklist Revision.  The revisions were made to the recommended CMS Emergency Checklist.  According to the Survey & Certification Memorandum, the information is current policy and is in effect for all healthcare facilities.  Highlights of the changes:

 

The link to the S&C letter can be found here:     

http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-14-12.pdf

ICD-10 Resources Available Now

Author: * Published in CMS NEWS

KHCA/KCAL is holding an ICD-10 Training May 20-21 in Topeka, KS.  Register Online

Just last week, the Centers for Medicare & Medicaid Services (CMS) Administrator Marilyn Tavenner told the Healthcare Information and Management Systems Society (HIMSS) technology conference that the International Classification of Diseases, 10th Edition (ICD-10) will go into effect this fall on Oct. 14, 2014 with no further delays.

Who needs to pay attention to this effective date? If your services/program is covered by the Health Insurance Portability and Accountability Act (HIPAA), then transitioning to ICD-10 code sets is mandatory.

While October seems light years away, it is critical for members to start planning now for how they will train their staff in advance of this date to ensure that claims will be properly submitted and payment will happen on and after Oct. 1, 2014. There are many resources and training opportunities we are gathering together to help you meet this mandate, starting with identifying the following training sources. You can find many of the documents and training resources linked below on the members-only section of the Association’s website under Payment Sources.

I. MLN Matters resources

On Feb. 6, CMS released a revised version of MM7492 (now, SE1408), Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10), a re-issue of MM7492, which states that all entities covered under the Health Insurance Portability and Accountability Act (HIPAA) — including nursing facilities — are required to use the ICD-10 code sets in standard transactions adopted under HIPAA. Obtain a complete copy of SE1408.

Also in February, CMS released an MLN Connects video on ICD-10 Coding Basics to ensure that providers are ready to transition to ICD-10 on Oct. 1, 2014. On the video, Sue Bowman from the American Health Information Management Association (AHIMA) provides a basic introduction to ICD-10 coding, and focuses on the similarities and differences between ICD-10 and ICD-9; ICD-10 code structure; and coding processes and examples. Find several ICD-10 videos here.

II. CMS Resources

a. eHealth University
CMS has launched eHealth University, a new go-to resource to help providers understand, implement, and successfully participate in CMS eHealth programs. eHealth University features a full curriculum of materials and information, all in one location. The education modules are organized by level, from beginner to advanced, and simplify complex information in a variety of formats, including fact sheets, guides, videos, checklists, webinar recordings, and more. Find it at http://cms.gov/eHealth/eHealthUniversity.html.

As part of eHealth University, CMS is offering several resources to help you prepare for the Oct. 1, 2014, ICD-10 compliance date. These include:

Once you have an understanding of the basics of ICD-10 through these beginner-level resources, check out the intermediate and advanced resources also available on the eHealth University website. Also, visit the CMS ICD-10 website for the latest news and resources to help you prepare for the Oct.1, 2014 deadline.

b. CMS ICD-10 industry email updates
Stay up-to-date on ICD-10! Sign up for email update messages here and follow CMS on Twitter.

III. National Government Services

National Government Services (NGS), the Medicare fiscal intermediary for Minnesota, also has an ICD-10 resource website. Please visit their ICD-10 implementation site at http://www.ngsmedicare.com (click on the Countdown to ICD-10 box on the left side of the page) for up-to-date information.

IV. American Health Care Association (AHCA)

Further, you can obtain great resources written specifically for LTC providers from AHCA’s bookstore: ICD-10 Essentials for Long-Term Care: Your Guide to Preparation and Implementation (product 8296) and the IDC-10 CM 2014 Edition (product 8026) at http://www.ahcapublications.org/products.asp?dept=4.

DCF LTC Round Table Meeting in Wichita- April 29, 2014

Author: * Published in KHCA/KCAL NEWS

Attention:  Nursing Facility Administrators/Social Service Administrators/Business Office Managers

The Wichita Region Department for Children and Families cordially invites you to attend our Long Term Care Providers Round Table Discussion.  Our time together will be held at Central Plains ADRC(2622 W. Central, Wichita, KS  67203) on April 29th, 2014 from 9:00-12:00 pm.  Please feel free to bring others from your facility that you feel will benefit from this opportunity.

We will address frequent questions/challenges that arise while caring for Kansans in need.  Also, we have requested our MCO's bring billing staff to discuss various and common questions that you have shared.  Our preliminary line up of presenters is listed below:

Billing Staff and Representatives from each MCO(UHC, AmeriGroup, Sunflower)

Adult Protective Services(FAS Teams)

ADRC(CARE Assessments)

KDHE(Policy and Process)

KDADS(Level of Care Scores/Waivers)

DCF Staff(Orange Team and Central Office)

The structure and presenters for this opportunity have been carefully chosen as a response to many questions and challenges that you and your colleagues have shared.  I believe you will definitely enjoy this opportunity and take applicable beneficial information back to your facilities.  We look forward to seeing you and offering support to each of you.

Any questions? Contact Tammy at DCF

Husch Blackwell Recent Developments in Hospice Webinar

Author: * Published in OTHER NEWS

 

Recent Developments in Hospice and How They Affect Your Business      
  
Centers for Medicare & Medicaid Services (CMS) is promoting hospice and palliative care for patients nearing the end of life. Many states allow hospice patients to remain in assisted living facilities. There are new regulations outlining the processes that nursing homes must have in place when caring for Medicare beneficiaries who have elected hospice. This webinar will provide an overview of recent regulatory changes for hospice and other hospice care providers, issues at the forefront of enforcement scrutiny, and how to strategically integrate care relationships. 
  
What You Will Learn
  • 
Recent regulatory developments in hospice, including new CMS requirements for hospice
     services in long-term care facilities 
  •  The new definition of care “related to” terminal illness  
  •  Recoupment efforts by CMS to address fraud and possible disclosure issues 
  •  Recent developments in Medicare data reporting and documentation
  •  Possible liability issues for assisted living facilities 

 
Who Should Attend
Healthcare providers for patients nearing the end of life.

Date & Time
Wednesday, April 9, 2014
Noon - 1:00 p.m. (CST)

Presenters   
Husch Blackwell attorneys Harvey Tettlebaum, Michael Crowe, Barb Miltenberger and Lisa Luetkemeyer

Continuing Education Credit
This webinar is approved for 1 hour of Colorado, Illinois, Nebraska, Tennessee and Texas CLE credit, and 1.2 hours of Missouri CLE credit. 
 
Registration
The program is complimentary; however, registration is required by April 2. We encourage you to forward this invitation to interested colleagues.

If you are Cindy Luxem, please use the links below to respond.       
    
Yes, I would like to attend.

No, I am unable to attend.

If you are not Cindy Luxem and would like to attend this webinar, please click here to register.   

Questions?  
Contact Sue Heley at 816.983.8794. 

Upcoming Healthcare Horizons Webinar Series Topics 
  •  Medical Mobile Apps: Regulation and Risks
  The Ins and Outs of a Solid Compliance Program
  What is FMV/Commercial Reasonableness