The Academy of Senior
Health Sciences, Inc.
17 South High Street
Suite 770
Columbus, OH 43215
614.461.1922
800.999.6264
Fax: 614.461.7168
cmurray@seniorhealthsciences.org



 

The Academy of Senior Health Sciences, Inc. (formerly The Ohio Academy of Nursing Homes, Inc.) seeks to provide public education and awareness initiatives to the long-term care community in Ohio. Our membership represents a true cross-section of the skilled nursing facility profession, from small sole proprietorships to larger Ohio-based multi-facility companies, as well as those businesses that service our industry. Through our public education and awareness efforts, the Academy brings the collective influences of the members together into a single voice on vital issues affecting our profession.

Founded in 1966, the Academy then identified one of its core purposes as "To foster a spirit of goodwill among those persons engaged in the nursing home industry, to promote ethical practices in their relationships with each other, their employees, and the general public to the end that all interests may be served fairly..." Though the organization has undergone several transformations over the years, most notably in 2011, its dedication and commitment to Ohio's most frail and elderly remains the same.

 The Academy Weekly Headlines from 2 Weeks Ago
MyCare plans to follow CMS on PDPM —  The new Medicare payment methodology, PDPM, is set to take effect on Tuesday, October 1. The managed care plans appear to be following the move to PDPM. Many contracts, be it with Medicare Advantage or MyCare Ohio plans, reference the Medicare fee for schedule rate. The PDPM is the new fee for schedule rate on October 1 and as such, many plans are choosing to maintain the link to the Medicare payment amounts. Furthermore, many plans are implementing the "hard" transition, meaning any resident currently in the home on October 1 is treated as day one of the stay. Dates of service (DOS) prior to Oct 1 are to be billed under RUGs and DOS on or after October 1 should be billed under PDPM as day one. PDPM can prove to be more challenging than changes to RUGs as PDPM has multiple components to the rate that change depending on the resident. And the PDPM rate changes the longer the resident is in the facility. As with any payment change, we anticipate there to be problems along the way and providers should communicate with plans to ensure proper billing during the transition. Molina has already notified providers that they will be holding claim payments until early November as they transition their system to the new model. Should you encounter systemic issues with any of the plans because of PDPM and are having difficulty getting them resolved, please contact The Academy.

Register for the 2019 Fall Conference and Annual Meeting! —  The 2019 ASHS/OANAC Fall Conference and Annual Meeting is coming this November 19 and 20! Don't miss-out on this opportunity to learn the latest on LTC topics: PDPM, Medicaid Policy, Medicare 101, Budget Bill Update, Legal Update and much more - click here to view the conference agenda! You can earn up to 14 BELTSS CEs (Approval Pending) for as little as $235. These rates won't be around for long. Register today by clicking here!

ODM requests provider input on PASRR forms —  The Ohio Department of Medicaid is proposing changes to two PASRR forms: PAS/RR Identification Screen (ODM 03622) and Hospital Exemption from PAS notification (ODM 07000). ODM is looking for provider feedback on the proposed changes and any other changes that may be warranted. Please click here to download a zipped file containing the current forms and the proposed changes. Please send any comments or recommendations to The Academy.

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