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Tags Posts tagged with "Resources"

Resources

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RCPA has been in communication with the American Medical Rehabilitation Providers Association (AMRPA), who has been working with the Centers for Medicare and Medicaid Services (CMS) to ensure inpatient rehabilitation facilities (IRFs) do not face inappropriate non-compliance penalties related to the IRF Patient Assessment Instrument (PAI) version 4.0 that is set to go into effect tomorrow (October 1, 2022). One particular concern is new items in version 4.0 do not include a “skip logic” to account for unplanned discharges that classify as incomplete stays. This oversight could lead to many IRFs not meeting the 95 percent data completion threshold for the Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP).

Yesterday, CMS released a statement on the issue along with a Question & Answer (Q&A) document. CMS also noted that the agency will determine if a permanent fix is necessary and will release any related guidance or data specifications in the coming weeks.

The Office of Long-Term Living (OLTL) has released the meeting materials from the September 7, 2022, Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting. In addition to the PowerPoint presentations being included, there is also a meeting transcript. You can find the materials below:

The next MLTSS Subcommittee meeting is scheduled for October 4, 2022.

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The Centers for Medicare and Medicaid Services (CMS) has issued a quarterly (consolidated from June 2020 to September 2022) inpatient rehabilitation facility patient assessment instrument (IRF-PAI) Question and Answer (Q&A) document in light of the release of the IRF-PAI 4.0. This document focuses on questions submitted to the IRF Quality Reporting Program (QRP) Help Desk related to the IRF-PAI version 4.0 and consolidates guidance from prior releases.

The Pennsylvania Health Law Project (PHLP) has a new resource for health care providers that explains how to write a strong letter of medical necessity when requesting Personal Assistance Services (PAS).

The brochure includes some sample language that may be useful in describing your medial opinion. The guide outlines seven key steps:

  1. Introduce Yourself and Why You’re Writing
  2. Describe Your Patient
  3. Explain WHY the Requested PAS Hours Are Medically Necessary
  4. Expand on Your Opinion With Helpful Details
  5. Restate Your Conclusion
  6. Proofread
  7. Sign, Date, & Deliver

Read PHLP’s Guide for Physicians

Read PHLP’s Sample Letter of Medical Necessity

Macro of burning candle isolated on black background

Overdose is the leading cause of death for people ages 18 to 45 in America. Today, August 31, 2022, is International Overdose Awareness Day (IOAD). It is the world’s largest annual campaign to end overdose. The day honors those who have died from an overdose and offers an opportunity to reflect on the grief of those left behind while bringing attention to issues surrounding substance use disorders (SUDs) and overdose deaths. IOAD allows people to grieve as they choose without fear of stigmatization.

Pennsylvania Department of Drug and Alcohol Secretary Jennifer Smith offered a video message, including resources to help those with an SUD. Those resources include:

General Resources:

IOAD Resources:

Equity-Related Resources: