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Kenneth Daily, LNHA Elder Care Systems Group Kenn@qissurvey OHCA District II

State/Federal Update February 2014. Kenneth Daily, LNHA Elder Care Systems Group Kenn@qissurvey.com OHCA District II. District News. CEUs for today’s program is 2 hours Certificate of attendance Need e-mail addresses Wage study spring ‘14 Future Programs

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Kenneth Daily, LNHA Elder Care Systems Group Kenn@qissurvey OHCA District II

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  1. State/Federal Update February 2014 Kenneth Daily, LNHA Elder Care Systems Group Kenn@qissurvey.com OHCA District II

  2. District News • CEUs for today’s program is 2 hours • Certificate of attendance • Need e-mail addresses • Wage study spring ‘14 • Future Programs • March 25: Nursing Law (rescheduled) • April 15: CHF in LTC • May 27: Otterbein Small Houses

  3. Social Worker Symposium • Offering 2 hours for social workers 4-6PM • Opening Day (7PM) -Dayton Dragons • Cost $25 members/$50 non-members • Sponsored by Brookhaven, Concept Rehab and Remedi Senior Care

  4. End of Life Nursing Education Consortium • Wednesday March 5th • Presidential Banquet Center • 8AM -4PM • $75.00 • CEUs for Nurses, Social Workers and LNHA • Registration is at website

  5. 2014OHCA District II/MVLTCA Golf Annual Golf Outing **Pipe Stone Golf Club Miamisburg Thursday August 28th Registration and Breakfast @ 8:00AM Shotgun start @ 9:00AM Information call Kenn Daily (937) 266-5939 kenn@qissurvey.com

  6. Ohio Consumer Guide • Department of Aging released the key facility-specific scores from the resident satisfaction survey conducted in 2013. • The highest overall score in the state is 98.45. • The statewide average score is 87.92, slightly higher than the 87.5 needed to qualify for the quality point • Higher than the 87.1 average score on the 2011 • 954 SNFs listed in the ODA report for 2013, 529 (55%) meet the standard for the quality point. Last year, only 24% qualified for the same point on the family satisfaction survey.

  7. Recovery Audits/therapy manual medical review PAUSE • February 21, 2014 is the last day for Recovery Auditors to send additional documentation request (ADR) letters. • February 28, 2014 is the last day for MACs to send ADR letters for the Recovery Auditor Prepayment Demonstration (complex reviews). • June 1, 2014 is the last day a Recovery Auditor may send improper payment files to the MACs for adjustment. • If a provider has already received an ADR letter, or will receive one of the last ones (sent by the end of this month), the provider must comply with the request and submit the records, or a denial will be made on the involved claim(s). • Any records that were previously submitted to the Recovery Auditor will continue to be reviewed, and the provider will receive a review results letter, as usual.

  8. MyCare Ohio • First introductory letter has gone out • Set to begin April 1, 2014 with voluntary enrollment • West-central Ohio July 1, 2014 • Buckeye and Molina • Medicaid enrollment July 1 and Medicare if chooses too Jan 1, 2015

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