Celtic Consulting

Our very own Maureen McCarthy, President of Celtic Consulting, will be presenting on 10/23 at the National Association of Rehab Providers and Agencies fall conference in San Diego! Her session, 'New Rules for Managed Care: How to Hold MCOs Accountable', will arm providers with strategies to navigate the latest managed care challenges. Maureen will dive into the implications of the Final Rule, discuss defensive documentation techniques, and provide actionable approaches to ensure fair reimbursement and accountability from MCOs. This is a must-attend for those looking to strengthen their knowledge and set themselves up for success as the popularity of MA plans continues to grow. If you’re attending, don’t miss this opportunity to gain valuable insights from an expert with decades of experience.

We’re sorry we missed meeting attendees at the AHCA/NCAL Annual Convention, which was understandably canceled the due to the impact of Hurricane Milton. While Celtic Consulting was excited to exhibit and connect with everyone, the safety of residents, SNFs, vendors, and the entire Florida community was the top priority. We'd still love the opportunity to connect! Celtic Consulting is a post-acute care advisory firm specializing in operational, clinical, and financial support for healthcare providers. Looking for strategies to manage your managed care contracts? Seeking effective systems to boost PDPM revenue and ensure compliance? Contact Celtic let’s discuss how we can be your solution. As the communities of Florida recover from the hurricane, our thoughts are with you. If there’s anything we can do to help during this challenging time, please don’t hesitate to reach out. We’re here to support you. Stay safe and strong.

A new SNF ABN must be in use by 10/31 - It's scary important to have a solid system in place for ABN utilization, so you can be proactive and avoid the fright of patient appeals or Medicare haunting your doorstep! Looking for more info? Join Celtic's experts on 10/21 at 1pm ET for a free webinar, "Clearing the Confusion: Understanding SNF ABN Denial Notice Changes". There's been a lot of confusion about how to interpret changes to the new SNF ABN, but this session will clear it up and prepare you for the upcoming deadline. In this session, we’ll walk you through: ·      Understanding what the SNF ABN is and why it is required ·      When and how to complete the newly updated SNF ABN ·      Explanation of the notice to beneficiaries and its impact ·      How the SNF ABN (CMS-10055) differs from the ABN (CMS-R-131) Register here: https://lnkd.in/e_8_d2DH

Join us for an informative 30-minute free webinar on the new Skilled Nursing Facility (SNF) Advance Beneficiary Notice (ABN)! With the recent changes sparking confusion across the industry, it's crucial to have a clear understanding to ensure compliance. This session will simplify the updates and help you get fully prepared ahead of the fast-approaching deadline. In this session, we’ll walk you through: ·       Understanding what the SNF ABN is and why it is required ·       When and how to complete the newly updated SNF ABN ·       Explanation of the notice to beneficiaries and its impact ·       How the SNF ABN (CMS-10055) differs from the ABN (CMS-R-131) Register now: https://lnkd.in/e_8_d2DH #SNFABN #HealthcareWebinar #SNFCompliance #NursingFacilities #HealthcareEducation

📢 Attention SNFs: Off-Cycle Medicare Revalidation Notices Coming Soon!   Between October – December 2024, CMS will revalidate SNFs to collect expanded ownership, managerial, and related party information, in line with new guidelines under Section 1124(c) of the Social Security Act. Watch for revalidation notices from your Medicare Administrative Contractor during this period. To maintain Medicare provider status, SNFs must report this data via the revised Medicare Provider Enrollment Application Form (CMS-855A) through PECOS or a paper version. Ensure your facility is prepared by staying ahead of these important changes to maintain compliance. Reach out to Celtic today if you have any questions: consultant@celticconsulting.org #SkilledNursing #SNFCompliance #HealthcareRegulation #CMS #PECOS #MedicareRevalidation

Tired of battling managed care insurers? Relief is on the way! Major changes went into effect this year, and even bigger improvements to the QIO appeals process are coming on January 1, 2025. Join Celtic’s CEO, Maureen McCarthy, at the AHCA/NCAL Annual Conference in Orlando, FL, for her session, "New Rules for Managed Care: How to Hold MCOs Accountable" on October 8th, from 3-4pm. She’ll be covering key changes from the CY 2024 updates, actionable strategies to navigate managed care, and a sneak peek at CMS’s CY 2025 updates that will streamline the appeals process. Looking forward to sharing insights that can help you take control! 

Celtic Consulting is heading to the Sunshine State for the AHCA/NCAL Annual Convention! Stop by our booth (#1402) to chat with experts Maureen McCarthy, Lori Chuisano, and Kristi Smith about the latest in healthcare solutions. Curious about upcoming Medicaid changes? Join us for a sneak peek of our new CMI Toolkit—the perfect resource for navigating the transition to PDPM for Medicaid reimbursement. Plus, engage in interactive discussions on key strategies for managed care, Medicaid reimbursement, and staying ahead of quality changes! We’re excited to attend the 2024 AHCA/NCAL ‘Delivering Solutions’ conference and explore how we can support your organizational initiatives and be YOUR solution! #deliveringsolutions24

Celtic’s CEO, Maureen McCarthy, had the incredible opportunity to present yesterday at the Rhode Island Health Care Association’s Quality Symposium, the biggest event of the year for the RI healthcare community! During her session, "Looming Quality Changes: What Can SNFs Expect”, she was honored to share insights on how SNFs can stay ahead of the curve and implement strategies to prepare. A huge thank you to the attendees who made the session so interactive and sparked meaningful conversation! We’re excited to see how these ideas will be put into practice to improve outcomes across facilities. For those looking for additional support navigating these changes, Celtic Consulting is here to help! We provide advisory support, quality measure reviews, and education designed to optimize your quality outcomes and help you stay on top of emerging trends. Let’s work together to ensure your facility is positioned for success!

Don’t miss this opportunity to enhance your MDS skills! Join our September webinar series “MDS Fundamentals for the New and Not-so-New: Medicare & ICD-10 Coding” on 9/11 and 9/19. It’s more crucial than ever for SNFs to focus on optimizing their revenue; a solid understanding of MDS Assessment related processes can lead to ideal billing, reimbursement, and quality outcomes. Whether you’re new to MDS or an experienced coordinator seeking a refresher, this series will provide valuable insights and practical tips to refine your expertise. Click here for more details and to register: https://lnkd.in/dw4QY3QC

Thank you to everyone who attended Celtic’s presentation for LeadingAge Connecticut yesterday! It was great to see so many members ready to navigate the changes that will impact CT SNFs beginning this fall. Let's continue work together as we adapt to these new developments in Connecticut - looking forward to the journey ahead!   Contact Celtic Consulting to explore how we can assist your organization in identifying opportunities for success, including optimizing your strategies for PDPM, Five-Star ratings, and Connecticut Medicaid quality programs.