Documentation Template: Isolation for Active Infectious Disease

The strict coding criteria for O0110M1, Isolation or quarantine for active infectious disease, requires precise documentation to support the MDS. AAPACN’s new Documentation Template: Isolation for Active Infectious Disease tool can help nurse assessment coordinators (NACs) educate nurses on the key areas of required documentation for residents in isolation. Want …

TIP: CMS Released a Correction to the PDPM Files for Oct. 1, 2024

The Centers for Medicare & Medicaid Services (CMS) announced corrections to the Patient-Driven Payment Model (PDPM) mapping files for I0020B, the primary diagnosis representing the reason for the skilled nursing home stay, which is also used to determine a resident’s clinical category assignment under PDPM. CMS released an update to …

FY 2024 PDPM Grouper Update

The “PDPM Grouper JAR Package V2.2002.zip” is now available. This release was updated to support corrections to the Fiscal Year (FY) 2024 Patient Driven Payment Model (PDPM) International Classification of Diseases (ICD)-10 code mapping for the purposes of resident classification under the PDPM for Medicare Part A Skilled Nursing Facility …

FY 2024 PDPM ICD-10-CM Mappings File Updated

From https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/list-federal-regulations/cms-1779-f2 Note: Typically, this file is posted at https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/patient-driven-model

FY2024 ICD-10 Codes Database for Item I0020B Updated

The Microsoft Access database containing the International Classification of Diseases (ICD)-10 codes allowed for item I0020B has been updated to reflect changes occurring soon with PDPM V2.2002. The new tables added should be treated as retroactive for FY2024. Please review the README.TXT included in the ZIP file From https://www.cms.gov/medicare/quality/nursing-home-improvement/minimum-data-set-technical-information

CMS Survey Process Notice: Testing Risk-Based Survey Approach

Update: April, 2024 CMS consistently strives to improve the effectiveness and efficiency of our nursing home oversight and compliance programs to protect residents’ health and safety. In 2017, CMS implemented a new nursing home survey process across all states, in conjunction with the implementation of revised Requirements for Participation for …

OIG Takes a Close Look at Facility-Initiated Discharges With Two Reports

Report 1: Concerns Remain About Safeguards To Protect Residents During Facility-Initiated Discharges From Nursing Homes Issued on 03/29/2024 | Posted on 04/03/2024 | Report number: OEI-01-18-00251 Report Materials Why OIG Did This Review Facility-initiated discharges that do not follow Federal regulations can be unsafe and traumatic, leading to resident harm. CMS and State Long-Term Care Ombudsmen …

LTCSP Survey Resources: Surveyor Tools Updated

This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going into facilities, including, for example, a document detailing their principles of documentation, a document showing …

HIPAA Alert: NJ Nursing Home Hit With $100,000 CMP for Not Providing Timely Access to Patient Records

Essex Residential Care, LLC, to pay $100,000 after failing to comply with HIPAA Right of Access The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR), announced a $100,000 civil monetary penalty against Essex Residential Care, LLC, doing business as Hackensack Meridian Health, West Caldwell Care …