Survey and Section I: Diagnosis-Related Deficiencies

Long-term care leadership often observes that the nurse assessment coordinator (NAC) role calls for detail-orientation and strong time-management and assessment skills, because these nurses must coordinate the resident assessment that drives the care plan, quality measurements, and (at times) reimbursement. While NACs strive for accuracy and integrity in this process, …

2021 AAPACN NAC Work Time Study and Salary Report Highlights: Reassessing NAC Hours for Success

During the pandemic, priorities shifted. They had to. The safety and care of the residents was the number one priority, and it required all hands on deck. Nurse assessment coordinators (NACs) found themselves working the floor, filling nurse aide shifts, and assisting with mass testing efforts. Even the Centers for …

ADR Successful Outcomes with Part B Therapy Audits

In nursing facilities, one of the primary regulatory requirements from Appendix PP of the State Operations Manual is that goods and services are provided to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident (§483.24 Quality of Life). One intervention frequently used is Medicare Part …

PDPM: Clearing Up NTA Confusion

At first glance, the methodology of the non-therapy ancillary (NTA) component of the Patient-Driven Payment Model (PDPM) seems simple: code qualifying items on the MDS to achieve points. Yet while the purpose of the NTA component is simple—to capture high expense medications and supplies—its calculation is more complex. Under PDPM, …

Recognizing Rejection of Care: MDS Coding Accuracy for E0800

Rejection of care can occur in many ways—Mr. Jones refuses to have his nails trimmed; Mrs. Abrahams clenches her mouth, refusing to take medications in the evening; or Mr. Martin discharges against medical advice. However, not all of these instances may be coded as rejection of care on the MDS. …

FY 2022 SNF PPS Proposed Rule Comments: AAPACN Highlights Impact of COVID-19 on SNFs

Jessie McGill, RN, RAC-MT, RAC-MTA Every spring, the Centers for Medicare & Medicaid Services (CMS) releases the notice of proposed rulemaking (NPRM) for the next fiscal year’s (FY’s) payment policies and rates. This provides an opportunity for stakeholders and providers to respond during the comment period. Each year, the American …