Sexual Expression/Intimacy Requires a Person-Centered Approach

The Centers for Medicare & Medicaid Services (CMS) makes clear that nursing homes should have a sexual expression/intimacy program that supports sexually intimate relationships when possible. Specifically, F607 (Develop/Implement Abuse/Neglect, etc. Policies) in Appendix PP of the State Operations Manual states:   The facility must have and implement written policies and procedures to prevent …

PBJ Submission / Data Specification / Report FAQs Updated (1/20)

The QIES Technical Support Office has updated its Payroll-Based Journal Frequently Asked Questions.    Jan 23, 2020  ·         Payroll Based Journal (PBJ) Frequently Asked Questions 01/2020 (PDF 113 KB)   From https://qtso.cms.gov/providers/nursing-home-mdsswing-bed-providers/reference-manuals  

Quick Guide to LTC Critical Element (CE) Pathways for the NAC Tool

Surveyors are required to use the critical element pathways in assessing compliance with federal requirements. Do you know what pathways the NAC needs to know? Find them all in one place in AAPACN’s latest Quick Guide to LTC Critical Element (CE) Pathways for the NAC tool. For permission to use …

Q&A: How do I code the primary diagnosis on the UB-04 for a Medicare Part A resident?

Question: When I received training for ICD-10 coding as it relates to billing, I was taught that the primary diagnosis code for long term SNF residents on a UB-04 claim would be their primary diagnosis for why they remain in the nursing facility. Therefore, if the primary diagnosis code was …