Careers   |   Manage Profile   |   Print Page   |   Contact Us   |   Sign In
Nursing Home News, Oct. 29, 2015 Vol 22 Issue 24
Nursing Home News

Bookmark and Share   

 

 

Vol. 22 Issue 24

 

Using AHCA Form 5000-3008 – LeadingAge Florida has received a number of questions on the required use of form 5000-3008 which became effective October 1, 2015. For the purpose of clarification Sandie Hugg, LeadingAge Florida posed the following questions to Susan Rinaldi, Medical/Health Care Analyst for the Bureau of Medicaid Policy at the Agency for Health Care Administration.

LeadingAge Florida: Does AHCA require the form 3008 to be completed on all transfers of patients from a hospital to a nursing home?

AHCA: The Medical Certification for Medicaid Long-term Care Services and Patient Transfer Form (AHCA Form 5000-3008, October 2015), commonly referred to as the 3008, is required for the purposes of requesting a Preadmission Screening and Resident Review Process (PASRR) Level II evaluation and determination.

LeadingAge Florida: When does AHCA require the form 3008 to be completed when a patient transfers from a hospital to a nursing home?

AHCA: This form can also be used when someone wants to qualify for Medicaid long-term care services.

LeadingAge Florida: When does the CARES unit require the form 3008 to be completed?

AHCA: The Comprehensive Assessment and Review for Long-Term Care Services (CARES) program requires a properly completed 3008 to determine if that person meets the medical criteria for Medicaid long-term care services.

LeadingAge Florida: Is the form 3008 an optional patient transfer form for use by hospitals and nursing homes?

AHCA: The 3008 is an optional form for patient transfer. The new 3008 is designed to increase continuity of care and reduce unnecessary re-hospitalizations.


 

New Data Available: National Partnership to Improve Dementia Care – The National Partnership to Improve Dementia Care has released new data. Since the start of the Partnership there has been a decrease in the use of antipsychotic medication of 24.8% among long-stay residents, to a national prevalence of 18.0%. The Partnership is very close to meeting their 2015 goal!

Please click here to view the General Information website and click here for the Advancing Excellence website for more information. .


 

Hospital Readmission Analysis Now Available in Quality Metrics – Nursing home providers can compare their hospital 30-day hospital readmission rates to their peers, the county, state and nationally using the new Hospital Readmission Analysis in LeadingAge Nursing Home Quality Metrics.

The data used to calculate the hospital readmission rates comes from annual Medicare inpatient fee-for-service claims data. Currently data from 2011, 2012 and 2013 is available with 2014 rates expected to be released in early December.

Click here to sign up for the next Nursing Home Quality Metrics training or On-Demand Webinar Recordings and see how you measure up!

For more information on any of the Quality Metrics tools, including the 5-Star Analysis Report, contact us at qualitymetrics@leadingageny.org or at (518) 867-8383.


 

Checking Your Medicare FFS Claim Status – With the recent transition to ICD-10, you may wonder how soon you will know whether your Medicare fee-for-service (FFS) claim was paid. Generally speaking, Medicare FFS claims take several days to be processed and must also – by law – wait two weeks before payment is issued.

You can check your Medicare FFS claim status by:
  • Interactive Voice Response (IVR): IVR gives providers access to Medicare claims information through a toll-free telephone number. Visit your Medicare Administrative Contractor (MAC) website for information on the Provider Contact Center and IVR user guide.

  • Customer Services Representative (CSR): Visit your MAC website for information on the Provider Contact Center only if you are unable to access claims information via IVR.

  • MAC portal: Visit your MAC website for portal features and access.

  • Direct Data Entry (DDE): Providers that bill institutional claims are also permitted to submit claims electronically via DDE screens. Visit your MAC website for more information.

  • ASC X12: The ASC X12 Health Care Claim Status Request and Response (276/277) is a pair of electronic transactions you can use to request the state of claims (via the 276) and receive a response (via the 277). Visit your MAC website for more information.
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website and Roadto10.org for the latest news and resources, including the ICD-10 Quick Start Guide. Sign up for CMS ICD-10 Email Updates.
Membership Software Powered by YourMembership  ::  Legal