TIP: Which RAC-CT Certification Format is Right for Me?

There are basically four format options for pursing the RAC-CT certification. Here’s a quick breakdown: Online + PDF – this is essentially a self-paced format where you would read through course content online and also have course material in a PDF format that you can download and/or print. Printed manuals …

Q&A: Is a Significant Change in Status Assessment required for a new stage 3 pressure ulcer?

Question: Is a Significant Change in Status Assessment required for a new stage 3 pressure ulcer? Answer from Janine Cortesa RN, BSN: A stage 3 pressure ulcer may signify the need for a Significant Change in Status Assessment (SCSA), but not necessarily. The RAI User’s Manual in chapter 2, states …

Q&A: Where are SNF quality measure data publicly reported?

Question: Where are SNF quality measure data publicly reported? Answer from CMS SNF QRP FAQs: The Care Compare website was launched in August 2020. It combines the Centers for Medicare & Medicaid Services (CMS) eight original provider compare sites into one place. It features updated maps and new filters to …

Q&A: When a Medicare Part A resident discharges to another SNF and will continue skilled Medicare there, what assessments are required and what is the date used in A2400C?

Question: I have a Medicare Part A resident discharging to another SNF and will continue skilled Medicare there. Would I combine the OBRA Discharge with a PPS Part A Discharge assessment?  In A2400, would I put the day she discharged as her Medicare Part A end of stay or would …

COVID-19 PHE: CMS Re-sets Key Rules for Nursing Homes

The parameters of the COVID-19 public health emergency (PHE) are shifting at a rapid pace for nursing homes. In the midst of their work to implement (and document) a staff vaccination plan that includes a tracking mechanism and an exemption and accommodation process, providers also must open their buildings to …

OIG: Facility-Initiated Discharges in Nursing Homes Require Further Attention (11/21)

The magnitude of facility-initiated discharges in nursing homes remains unknown. Many challenges exist to identifying and addressing inappropriate facility-initiated discharges, including that neither Administration for Community Living (ACL) nor Centers for Medicare and Medicaid Services (CMS) collect data on the number of facility-initiated discharges, and many State Ombudsmen do not …

JAMDA Study: CNAs Rushing Social or Physical Care Tasks = More Resident Behaviors (11/21)

Published online: November 21, 2021. The abstract is free and open to the public. Rushing Care by Care Aides Associated With Experiences of Responsive Behaviors From Residents in Nursing Homes

State RAI Coordinator and State Contact List / Appendix B, RAI User’s Manual Update (11/21)

The November update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. To ensure accurate formatting, use a current version of Adobe Acrobat Reader to view this PDF. Web-based or mobile browser plug-ins …

SNF PPS and Part B Therapy MedPAC Payment Basics Fact Sheets / Educational Tools (10/20)

Nov 03, 2021 / PAYMENT BASICS: SNF PPS Skilled nursing facility services payment system Nov 03, 2021 / PAYMENT BASICS: Part B therapy Outpatient therapy services payment system Additional payment basics tools: https://www.medpac.gov/document-type/payment-basic/

Part B Therapy (22x and 23x Bill Types): Reduced Payment re: PTAs and OTAs (11/21)

Transmittal 10934, dated August 13, 2021, is being rescinded and replaced by Transmittal 11129, dated, November 18, 2021 to update the background/policy section. Also, this Transmittal is no longer sensitive and may now be posted to the internet. All other information remains the same. SUBJECT: Reduced Payment for Physical Therapy …