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2003 Client Conference
April 27 - 30, 2003
J.W. Marriott Las Vegas Resort
Las Vegas, Nevada
Technology is helping to shape the future of healthcare - by providing better patient care, improved access to data, and a healthy return on investment. But technology alone is not the answer. It takes teamwork to get the job done right.
All Keane Care clients are invited to join us at the 2003 Keane Client Conference and discover how technology and teamwork can help you meet your business and care delivery goals. Team up with colleagues, industry experts, Keane business partners, and Keane staff members and learn how to get the most out of information.
The conference provides the perfect forum to meet with your peers, brush up on industry issues, and gain some valuable insights on how to achieve top performance from your system. The agenda will include general sessions for all Keane clients - plus plenty of time
dedicated to individual product lines and applications.
Registration is $395 per person. If you register before February 27, 2003 or register four or more people, it is $350. Pre-conference training is $175 for a single class and $300 for two classes.
Additional details and registration information can be found on The Insider.
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The $1500 caps for therapy provided under Medicare Part B are scheduled to return in July 2003, delayed from January 1, 2003. The annual capitations per Medicare Part B beneficiary are $1500 for physical therapy and speech/language pathology combined,
and $1500 for occupational therapy.
After a Part B cap is met, residents must pay 100% out-of-pocket for therapy above the $1500 limit.
The caps were in force for calendar year 1999, then suspended for two years. In December 2000, the moratorium was extended through 2002 in the budget package that included temporary add-on SNF funding. The package was not continued by the legislature in 2002.
For VistaKEANE clients using Keane Care billing software, instructions on setting up the therapy capitations are available in the clients-only area of our Website.
Click here for instructions for VistaKEANE Resident Account Management (RAM).
Click here for instructions for VistaCARE Accounts Receivable.
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The 2002 Resident Assessment Instrument (RAI) Manual gives MDS Coordinators one complete reference on the MDS 2.0, replacing the 1995 manual and the hundreds of questions and answers published since then.
Chapter 3, Item-by-Item Guide to the MDS (239 pages), is a must read. Even a section as relatively simple as AA5 (Social Security and Medicare Numbers) is expanded and changed from the 1995 RAI Manual.
For example, if no SSN is available, the instructions in the 2002 manual are to leave AA5a blank or enter the standard "no information" code (-). (Not "NA" or a circled dash as shown in the 1995 manual).
Under coding for the Medicare number, the 2002 RAI includes an instruction effective October 1, 2002 to not place the letter "C" before a railroad retirement number.
A document on the differences between the 1995 and 2002 RAI Manual instructions for M1 - Ulcers and P4 - Physical Restraints is available from http://www.keanecare.com/html/news/mds20/RAI-sects-M-P4.pdf.
Download the entire 2002 RAI Manual from http://cms.hhs.gov/medicaid/mds20/man-form.asp.
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A new rule requires skilled nursing facilities to post the number of licensed and unlicensed staff directly responsible for resident care on each shift for that day, beginning January 1, 2003.
The notice must be "prominently displayed where residents, staff, and the public may view it." Surveyors are directed to verify that it is posted, not to audit the notice as part of the survey process.
Licensed and unlicensed staff includes registered nurses, licensed practical nurses, and nurse aides.
See the story below that discusses Intellicost Enterprise Staff Scheduling software and how it can help your facility meet this requirement.
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Effective January 1, 2003, surveyors must note whether Long Term Care facilities have posted the number of licensed and unlicensed nursing staff directly responsible for care that day, on each shift.
That information is instantly available from the Daily Staffing report generated from Intellicost Enterprise Staff Scheduling - software designed specifically for Long Term and Post-Acute Care.
Enterprise Staff Scheduling improves facility efficiency overall while it dramatically decreases time spent on scheduling and reduces staff costs. It helps you balance employee satisfaction, quality of care, and expenses by putting complete information at your fingertips.
Tools to Manage Staffing
Per Patient Day (PPD) analysis facilitates staffing at appropriate levels. Overtime and agency use are continually monitored. This one software product gives you both PPD data and the tools to manage staffing. It also provides instant access to actual and projected budget information.
Intellicost Enterprise Staff Scheduling is a web-enabled program that runs on the Internet and can be hosted locally or remotely. Because multi-facility organizations share a database, schedules and management information for all sites are instantly available to all staff who have access.
Key Features
- Reduces the amount of time spent on scheduling
- Calculates daily PPD hours and dollars
- Identifies opportunities to reduce overtime and agency use
- Provides a wide range of valuable reports for staffing management
- Maintains employee information
- Provides staff with their schedule: bi-weekly or monthly
- Tracks use of agency staff
- Provides a secure web-based solution that's available to authorized staff anywhere via the Internet
Intellicost Enterprise Staff Scheduling is a product of Broader Healthcare Solutions, LLC. For more information, contact your local sales representative or Kim Barth at 800.426.2675 or via e-mail at info.ltc@keane.com.
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The CMS Webcast from December 2002 is meant to help facilities look their best on the Quality Measures posted on CMS' Nursing Home Compare website. It covers how to code for pain, infections, pressure ulcers, ADLs, restraints, and delirium and includes real-life examples.
The webcast and handouts are available for several months. Click here to visit the CMS Course Delivery System website. A simple registration is required, as well as, a MDS coding test. Both the Webcast and handouts rate a thumbs-up for completeness and accessibility.
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CMS has clarified its policy on payment for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies when an SNF Part A stay overlaps a DMEPOS billing period. Information can be found in Program Memo B-02-087, effective April 1, 2003.
Click here to download the memo.
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CMS has released an annual update of HCPCS coding changes in Program Memorandum A-02-118. No services were added by the updates, only changes to the coding system.
Click here to download the memo and Help file.
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Visit the Medicare Quality Improvement Clearinghouse for a wealth of information on the areas addressed by the Quality Measures: ADL Decline, Delirium, Infections, Pain, Physical Restraints, Pressure Ulcers, and Walking Improvement.
For each quality area there is a checklist designed for a DON/DNS to use to identify areas for improvement within a facility's current processes, such as screening, assessment, care plan development, monitoring/tracking, and staff education/training.
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CMS has posted 11 frequently asked questions about billing for group therapy on the Medicare Learning Network website.
Questions include:
How do I determine whether to bill for group therapy or individual therapy when I am treating two patients during the same time period?
Can I bill Medicare for the services of an aide that I supervise?
Can I bill for both individual (one-on-one) and group services provided to the same patient on the same day?
Click here to read the FAQs.
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The Keane LTC Users' Group invites staff from all facilities using the VistaKEANE system to participate in their organization.
The mission of the Keane LTC Users' Group is to provide input to ensure all the products used by Keane Long-Term Care clients meet the ongoing requirements of the post-acute care community. The Users' Group is a self-governing body, independent of Keane.
Membership in the Users' Group is free and individuals determine their level of involvement.
Sign Up Now
Keane Care customers can visit the VistaKEANE Insider for more information and to sign up for the Keane LTC Users' Group.
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