The Reliant Reveal Monthly – December

Reliant Rehabilitation

Dec 31, 2018

Reliant Reveal

Headlines in This Issue…

Headline Article: PDPM Part 4: Information Overload, Time to Review
CMS Updates
Clinical Services: The Client Connection Monthly Webinar Series
HIPAA Happenings: HIPAA Privacy Rule Refresher
End of Year Wrap Up!
Care Matters Spotlight

PDPM Part 4:
Information Overload, Time to Review

When PDPM was finalized in July’s final rule, there was no stopping the development of training and resources by those in our industry who make us successful. It’s what educators do: dissect, synthesize and disseminate information. However, PDPM’s outline in the final rule lacked detail in certain areas and created questions in others. Chances are, some of the training and resources you have saved (even CMS’) are now inaccurate or incomplete. 
During the Medicare Learning Network call earlier this month, many elements of PDPM were clarified and a few were introduced as detailed in this article. So, with all of the PDPM chatter, how do we filter for quality and accuracy? How do we trust the resources we have are accurate and up to date?
Read on for tips
to ensure you’re reviewing the latest, accurate information.

SNF PPS: New Patient Driven Payment Model Call

On December 11, 2018, CMS hosted a national Medicare Learning Network call which provided a detailed look at the Patient Driven Payment Model (
Some specific details are provided in the article above, and additional resources are available at the
PDPM webpage
Reliant is actively following CMS updates and clarification to ensure our resources and training are up to date and accurate. Watch for education opportunities in early 2019!
Full audio recording and transcript are now available on the
MLN homepage
for download.

Nursing Facility Case-Mix Payment Changes October 1, 2019

CMS issued an informational bulletin earlier this month notifying providers of changes that will impact states’ payments for Medicaid beneficiaries in the nursing home setting.
The bulletin indicates with the implementation of PDPM in October 2019 a new optional assessment, specific for states that rely on RUG-III and RUG-IV assessment schedule, will be available. The assessment will be active from 10/1/2019 through 9/30/2020, at which time states will have to determine an alternate calculation system for Medicaid payment.
Additional detail was provided in the December 11th MLN call. Read full bulletin

CMS’ Calendar Year 2019 Medicare Physician Fee Schedule Final Rule
On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after
January 1, 2019.
Reliant’s Real Time Memo, which summarizes the final rule, can be downloaded
. The following is included in the summary:
  • Conversion factor update
  • Discontinuation of functional status reporting (G-code) requirements for outpatient
  • Update on outpatient physical therapy and occupational therapy services furnished by assistants
  • KX modifier attestation amount
  • Medicare telehealth services update
  • Payment provisions


Every month on the third Thursday, Reliant’s Clinical Services offers a webinar to our partners on relevant topics within our industry.
2018 has been a busy year of regulatory updates. This month, we offered:
Ringing in the New Year with Resolutions for Regulatory Success!
Join us in January to kick off the new year with:
Overview and Training Plan for PDPM.

HIPAA Privacy Rule Refresher

Ushering in a new year is an excellent time to review practices for success.
Included here are 10 important HIPAA privacy rules with which you want to make sure you’re familiar!

Year in Review: Client Connection

Reliant offers education opportunities monthly. Each topic is selected based on your feedback, regulatory changes, and industry trends. 2019’s schedule will be packed with information you don’t want to miss! Below are topics from 2018; let your Regional Director of Operations know if you missed one of these trainings and you’d like to know more!

  • Survey Preparedness
  • Therapy Cap Update
  • Discharge Planning: What’s Next?
  • Clinical Appeals Portal Demo
  • CMS Updates: SNF Proposed Rule
  • Fall Prevention: Tips to Make Your “Fall” Numbers Fall
  • 2018 MDS Updates: Section GG

  • Reducing Rehospitalizations Using S.O.S.
  • Partnering for Outcomes Using Reliant’s Model 10 2.0
  • Compliance Department Overview
  • Ringing in the New Year with Resolutions for Regulatory Success

Honoring President Bush’s Influence on the
Americans with Disabilities Act (ADA)
by Connie Welcome, OT, Clinical Services Specialist

As America mourns the passing of our 41
 President, Mr. George H. W. Bush, what has become almost palpable is how his influence is intertwined within the fabric of our society. There are so many contributions he made that continue to penetrate our current democracy; foremost in my mind is the passage of the landmark civil rights law, the Americans with Disabilities Act (ADA) of 1990. On the day President Bush signed the bill into law, he remarked, “Every man, woman, and child with a disability can now pass through once-closed doors into a bright new era of equality, independence, and freedom.” He went on to say, “Today’s legislation brings us closer to that day when no American will ever again be deprived of their basic guarantee of ‘life, liberty, and the pursuit of happiness’. Together, we must remove the physical barriers we have created and the social barriers that we have accepted. For ours will never be a truly prosperous nation until all within it prosper.”
Read full story

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