MatrixCare Earns 2019 Best in KLAS Award…again!Best in KLAS for Long-Term Care Software

The “Best in KLAS” award is a highly valued acknowledgment of outstanding efforts by software and services organizations to help healthcare professionals deliver better care. It is reserved for technology solutions that provide the broadest operational and clinical impact on healthcare organizations, as determined by users of the technology.

MatrixCare was awarded its third straight Best in KLAS Award for Long-Term Care Software and the highest-ever score for that category. MatrixCare is the only company to earn this category’s “Best in KLAS” award three years in a row.

Read the News Release for complete details.

Sessions You Don’t Want to Miss at Directions 2019!

2019 Directions

In addition to our review of release highlights over the last year and a supercharged roadmap to the future, you will experience many additional value-add sessions at Directions this year.

We have a record number of clients participating in presentations, and we couldn’t be more excited to participate in the expert knowledge sharing sessions and networking that will take place near the Grand Ole Opry.

We’ve outlined some great sessions you don’t want to miss:

Release Recap and Roadmap for SigmaCare by MatrixCare clients
In this session, we will recap the SigmaCare by MatrixCare releases of 2018 and show you how to quickly implement the new features. Bring your experiences to share and learn from clients in the room how they use the features at their facilities. We’ll also provide an overview of regulatory and industry changes and how the 2019 releases will address them.

PDPM: MatrixCare Plans and Timelines for SigmaCare by MatrixCare Clients
PDPM changes the reimbursement model from Therapy to Nursing.  Get the latest updates on SigmaCare by MatrixCare functionality: what is completed, what is in the works, and when the PDPM updates will be available to clients. Discuss unique challenges that may be introduced with like-minded facilities and hear how MatrixCare is bringing innovation to PDPM beyond the basic requirements.

Revenue Cycle Management, Analytics, and the Bi-directional Integration for SigmaCare by MatrixCare Clients
MatrixCare Revenue Cycle Management is the superior solution for skilled nursing providers to maximize reimbursement and optimize cash flow. Join us for a deep-dive of the MatrixCare RCM experience, including differentiators and key features such as month-end close batch reporting, fully-integrated claims management and remits, automated regulatory updates and advanced handling of managed care payers. MatrixCare RCM users will also be able to take advantage of MyAnalytics to review decision-making metrics and assess their facility data in ways that best meet their needs. Additionally, we’ll review the bidirectional workflow and information flows of MatrixCare RCM and SigmaCare by MatrixCare Care Management.

A Guide for SigmaCare Clients to the Broader MatrixCare experience: MealTracker, CareCommunity, and MyData
Are you taking advantage of all the added value that MatrixCare’s ancillary products have to offer? Join us for a comprehensive overview of MealTracker, CareCommunity, and MyData. We will discuss the functionality and benefits of each product as well as the and integrated workflows with SigmaCare by MatrixCare.

Access the Full Conference Agenda to view all sessions scheduled for Directions 2019.

Learn more about Directions 2019 or reserve your spot and register now!

Product News

Progress Note Features That Improve Reporting & Increase EfficiencyDoctor and Nurse

As part of the 20.7 release, two value-added features were included for the Progress Notes module. Progress Note Tags help users more easily and accurately view and report on progress notes that are associated with a specific topic or keyword. Progress Note Replacement Values make entering progress notes more efficient by eliminating manual entry of common data.

Progress Note Tags give a user the ability to tag progress notes and filter by those tags in logs and reporting. One or more tags related to the topic of the progress note or content within the progress note can be added from a drop-down menu that has been pre-configured with standard options. Organizations can choose to customize preset options and also associate tags to specific progress note templates to ensure standardization across the organization. Users can easily locate specific progress notes from the Resident Summary page or 24 Hour Report log using the filters.

In the 20.7 release notes, the following instructions are included to aid you in configuring this option.

  • Adding Tags to a Progress Note
  • Viewing and Editing Tags on a Progress Note
  • Filtering for Progress Note Tags
  • Setup of Progress Note Tags

Progress Note Replacement Values can be added to templates included in the Progress Note Library to populate data from information in a resident’s summary, current clinical monitoring, or from the system; and can be configured to populate in specific places within the progress note. For example, if the progress note has a place for the resident’s current blood pressure, the system can pull the most current blood pressure value into that place. This feature helps to minimize the amount of time staff will spend entering information already available within the system and reduce duplicate data entry errors.

To use this functionality, the Progress Notes Library must be configured by a user who has permission

Access the 20.7 release notes from Customer Connect to learn more about these valuable features.

Frequently Asked Questions & Helpful Tips

Did You Know

Generating the Census Roster Export Report
Twice a year, facilities in New York State are required to gather and submit specific resident information to the New York State Department of Health. The information is required for residents active at the facility as of 11:59 pm on the Picture date. In the 20.5 release, the Census Roster Export was introduced to assist in compiling this data.

To generate the Census Roster Export Report, click Reports > Census > Census Roster Export (CSV) > select a Picture Date, click Run.

Services News

Critical Coding Clues – The Key to Maximizing Revenue Under PDPM

Complimentary Webinar

You know that the Patient-Driven Payment Model (PDPM) has been finalized and will replace the Resource Utilization Groups, Version IV (RUG-IV) model on October 1, 2019. But do you understand how this change will impact reimbursement?

Join us for a webinar led by MatrixCare Senior Implementation Consultant, Tracey Beattie, RHIT, CCS-P, and AHIMA Approved ICD-10-CM Training Ambassador, to learn about the critical role documentation will play in accurate ICD-10-CM code assignment to meet the requirements of PDPM and maximize revenue under this value-based care model.

During this session we will discuss:

  • The impact of ICD-10-CM codes on reimbursement
  • The importance of clinical documentation supporting ICD-10-CM codes
  • The importance of section I8000 of the MDS

Don’t miss this valuable session on Thursday, March 14, 2019, at 1:00 PM ET. By watching this program live in its entirety, you can earn (1) CE credit!

Register for this webinar

Developing a Successful Facility Action Plan for PDPM & ICD-10-CM

On-Demand WebinarPlan, Prepare, Perform

The Patient-Driven Payment Model (PDPM) has been finalized and will replace the Resource Utilization Groups, Version IV (RUG-IV) model on October 1, 2019.

PDPM is designed to promote value-based care by shifting incentives from the volume of services to a value-based payment that focuses on the patient’s condition and care needs.

On February 12th & 19th, MatrixCare Senior Implementation Consultant, Tracey Beattie, led sessions to discuss how documentation will play a critical role in accurate ICD-10-CM code assignment to meet the requirements of PDPM.

During the session, she discussed the following:

  • An overview of the requirements of PDPM
  • The impact of ICD-10-CM codes on reimbursement
  • The importance of clinical documentation supporting ICD-10-CM codes
  • Strategies for developing a successful facility action plan for PDPM & ICD-10-CM

Access a recording of the session by visiting the PDPM section on Customer Connect.

To support your preparation and compliance for implementation of the Patient-Driven Payment Model (PDPM), we have also compiled some additional resources suggested by CMS that you may find helpful. As more information and resources become available, we will update this page.

Creating a Winning Team Buzz

Complimentary Webinar

MatrixCare recently hosted an executive forum and will share information from more than 30 CEOs of organizations leveraging our technology. The webinar will focus on operational excellence, managing risks and critical success factors for tomorrow’s long-term care leaders. During the session, we will share insights on empowering cross-trained staff with powerful and easy-to-use tools to build a culture of excellence and performance. Finally, we will discuss key factors leaders can control and how MatrixCare can help providers perform most efficiently.

Join Kevin Whitehurst, Senior Vice President of Skilled Nursing Solutions on Thursday, March 14, 2019, from 1:00 – 2:00 PM EST for this informative event.

Register for this webinar

Partner News

Elevate Your MatrixCare Investment with Partner Product Integrations

On-Demand Webinar

Our Partner Webinar held on February 21, 2019, was led by a panel of our certified partners who presented on products and solutions that help you monitor your organization and residents, simplify your accounts receivables operations, maximize reimbursement for therapy services, and facilitate care collaboration with other healthcare providers.

Interested in learning more about a partner? View the webinar recording!

Team TSI
Collective Medical

Team TSI is long-term care’s leading source of data-driven intelligence. We offer online, data-focused tools that long-term care providers need for improved reimbursement, survey preparedness, event tracking and more.

Financial Transmission Network, Inc. (FTNI) helps businesses streamline accounts receivables (A/R) operations by accepting, processing, posting and managing any payment method, from any payment channel—seamlessly and securely on a single, SaaS platform.

Casamba is a leading provider of EMR software and solutions for contract therapy providers and outpatient rehab clinics. Our healthcare technology solutions are designed to maximize both business and clinical success for providers across the entire continuum of post-acute care.

Collective is a healthcare IT network used by thousands of healthcare providers across the country—delivering real-time patient notifications and facilitating quality care collaboration between providers for time, cost, and life-saving information.

Regulatory News

MDSMDS 3.0 QM User’s Manual Version 12.0 Now Available

The MDS 3.0 QM User’s Manual Version 12.0 has been posted. The MDS 3.0 QM User’s Manual V12.0 contains detailed specifications for the MDS 3.0 quality measures. The MDS 3.0 QM User’s Manual V12.0 can be found in the Downloads section of this page and the MDS 3.0 QM User’s Manual V11.0 has been moved to the Quality Measures Archive page.

Two files related to the MDS 3.0 QM User’s Manual have been posted:

  1. MDS 3.0 QM User’s Manual V12.0 contains a detailed specification for the MDS 3.0 quality measures. MDS 3.0 QM User’s Manual V12.0 is available under the Downloads section of this page.
  2. Quality Measure Identification Number by CMS Reporting Module Table V1.7 documents CMS quality measures calculated using MDS 3.0 data and reported in a CMS reporting module. A unique CMS identification number is specified for each QM. The table is available under the Downloads section of this page.

Visit the CMS Quality Measures Page

Download MDS 3.0 Quality Measures User’s Manual

MDSDraft version of 2019 MDS Item Sets Now Available

CMS has posted a new DRAFT version of the 2019 MDS item sets (v1.17.0). This version is scheduled to become effective on October 1, 2019. There are a large number of changes that are outlined for what is coming.

Changes include:

  • First look at the Interim Payment (IPA) and Optional State Assessment (OSA) forms.
  • The only response values for A0310B are:
    • 5-day
    • IPA
    • Not PPS Assessment (None of the above)
  • The OSA form has added a new question: A0300B- Assessment type. Responses include:
    • Start of therapy assessment.
    • End of therapy assessment
    • Both Start and End of therapy assessment
    • Change of therapy assessment
    • Other payment assessment
  • Question I0020, answer value 14, Other Medical Condition has been deleted, and the associated diagnosis code I0020A has also been deleted, replaced by I0020B.

Visit the CMS website to download MDS 3.0 Item Sets v1.17.0 (DRAFT) for October 1, 2019 Release.

MDSNew Version of MDS 3.0 CAT Specifications Now Available

A new version (V1.04.0) of the MDS 3.0 Care Area Triggers (CAT) Specifications was posted. This version is also scheduled to become effective on October 1, 2019. The specification for CAT 12 (Nutritional Status) has been updated in accordance with the changes in V3.00.0 of the MDS 3.0 Data Specifications.

Visit the CMS MDS 3.0 Technical Information Page

Download Care Area Trigger Specifications Change Document (v1.04.0)

magnifyNursing Facility/Skilled Nursing Facility Taxonomy Code Requirements

Important Notification from Amerigroup for NJ Providers

Summary of change: Effective April 1, 2019, Amerigroup Community Care will strictly enforce the following policy requirement: all claims filed using Revenue Code 0100 (skilled or custodial care) will require appropriate taxonomy codes to determine correct payment. Amerigroup will apply strict requirements for all nursing facility (NF) and skilled nursing facility (SNF) claims.

What does this mean to me?

For all claims received after April 1, 2019, you must submit all NF and SNF (Revenue Code 0100) claims with the taxonomy code that corresponds to the service authorized. The correct codes are:

  • NF — taxonomy code 313M00000X
  • SNF — taxonomy code 314M00000X

What is the impact of this change?

If you fail to submit the appropriate authorized code listed above, our system may reject the claim or cause it to be paid at a lower reimbursement rate.

NFs and SNFs are also strongly encouraged to verify the eligibility of patients on a monthly basis to ensure continued enrollment of the member with Amerigroup and eligibility to receive covered services. This includes ensuring Amerigroup members have not only Medicaid eligibility but also MLTSS eligibility if they are receiving MLTSS services.  Amerigroup will not pay for the care of noneligible individuals.

What if I need assistance?

If you have questions about this communication or need assistance with any other item, contact your local Provider Relations representative or call Provider Services at 1-800-454-3730.

Download the Amerigroup notification

Industry Events

Upcoming Tradeshows & Meetings

We look forward to seeing you at the upcoming events. Be sure to stop by our booth and learn more about all the MatrixCare solutions available to you.