Order Sets and Automatic Triggers… What’s the Difference?
Creating groups of orders can be helpful in reducing the time spent by users during the order writing process as well as to ensure that all orders necessary for residents are added appropriately. These groups of orders can be created as either an Order Set or an Automatic Trigger.
Order Sets are used to during the order writing process to select a group of orders that need to be added at the same time but can also be ordered individually.
Example: An Admission Order Set consists of several different orders and order types that are often used upon admission, such as an order for acetaminophen, dietary consultation, house protocol orders, and a monitoring order for vital signs. These orders can be grouped together to be added for all residents upon admission, but they should also be available to order separately as needed.
Automatic triggers are used when an order being entered should always trigger another supplemental order.
Example: When entering a Coumadin order, a PT/INR order is necessary; or when entering an order for Fentanyl patch, an order to check placement every shift is necessary. In those examples, setting up an automatic trigger will automatically populate those additional orders when entering an order for Coumadin or Fentanyl.
Review the articles Creating and Adding Orders to an Order Set and Creating and Adding Orders to an Automatic Trigger in the Client Community for more information.
Visit the MatrixCare Client Community and navigate to Upcoming Webinars & Events: SigmaCare by MatrixCare to register for a session. For assistance with accessing the Client Community, please contact our Support team.
The Blueprint for Effective Acute/Post-Acute Information Exchange
Presented by The Advisory Board
August 6, 2019 – 12:00 pm – 1:00 pm CST
To effectively improve post-discharge outcomes, hospitals and PAC providers must be able to communicate patient information effectively with one another. Yet due to a lack of post-acute IT capabilities and historic collaboration, most providers struggle to access and share needed information. Join us as we discuss 3 key goals for information exchange: preventing errors, managing escalations, and equipping network care management. And you’ll take away strategies and tactics for acute and post-acute partners to execute on each of these goals today, regardless of the information-sharing mechanism.
Accurate Resident Assessments: A Critical Key to PDPM Success
Presented by Quality in Real-Time
August 8, 2019 – 1:00pm – 2:00 pm CST
In the new PDPM reimbursement model, accuracy in data collection and documentation resident care will be of utmost importance. Few people see the resident, and everyone else must rely on documentation to understand the interactions and interventions done by clinicians. Assisting clinicians to achieve that goal is an important objective for PDPM success. In this session, Laura Page-Griefinger, Founder & CEO of Quality in Real-Time, will discuss:
- PDPM – What this change means for SNFs
- How resident assessments impact reimbursement under PDPM
- Importance of clinician accuracy in documentation and assessments
*Note: Attendees of this session may be eligible to earn 1 CEU – pending NAB approval.
Did you miss one of our recent live webinars? Visit the MatrixCare Client Community and navigate to Learn the Product: SigmaCare by MatrixCare: Webinars to view all previously recorded webinars.
PDPM Webinars for SigmaCare by MatrixCare
- Maximizing Reimbursement and Thriving with ICD-10 Coding
- What to Do Today to Optimize PDPM Success Tomorrow
Understanding Your SNF VBP Program Performance Score Report Call
Medicare Learning Network (MLN) is hosting an event on Tuesday, August 27, 2019, at 1:30 PM Eastern Time where you will learn about your Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program Performance Score Report. CMS experts will present a high-level summary of the program and highlight the payment year 1 results (FY 2019 program year).
A question and answer session will follow the presentation; however, attendees may email questions in advance to SNFVBP@rti.org with “SNF VBP Aug 27 NPC” in the subject line. These questions may be addressed during the call or used for other materials following the call.
Register for this event or visit the event page for more information.
New Medicare card—Transition period ends in less than six months
According to the Centers for Medicare & Medicaid Services (CMS), beginning January 1, 2020, providers must use the Medicare beneficiary identifier (MBI). CMS will reject claims you submit with the health insurance claim number (HICN), with a few exceptions, and reject all eligibility transactions.
If you have questions, your MACs may have more information. Find their website at http://go.cms.gov/MAC-website-list.
Review the MBI format specifications, which provide more details on the construct of the MBI.
Review the fact sheet which discusses the transition to the MBI and the new cards.
Evaluate Your Medicare Bad Debt Rules
MatrixCare Revenue Cycle Management users, please evaluate how your Medicare Bad Debt GL accounts are configured prior to 10/1/2019! Ensure the write-offs of crossover balances are being recorded in a bad debt expense account (vs. a contractual allowance account) to comply with this clarification in CMS policy so as not to affect Medicare bad debt reimbursement. Note: This is not a new process.
Review BKD’s Medicare-Medicaid Crossover Bad Debt Accounting Classification article, which further describes this and the supporting CMS regulations.
We look forward to seeing you at the upcoming events. Be sure to visit with one of our representatives and learn more about all the MatrixCare solutions available to you.
- FHCA | August 5 -6, 2019
- LeadingAge MN Connect Conference | August 20 – 21, 2019
- MHCA Annual Convention & Trade Show | August 26 – 27, 2019
- LeadingAge OH | August 28, 2019