From MLN Connects eNews In a report, the Office of Inspector General found that some skilled nursing facilities (SNFs) didn’t comply with Medicare requirements for reporting related party costs. These SNFs failed to report related parties on their Medicare Cost Reports or reported the costs inaccurately, resulting in overstated costs to …
In this LTC NAC Chat podcast episode, AAPACN Chief Nursing Officer, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialists with AAPACN, discuss AAPACN’s advocacy efforts and how the association works to ensure the …
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On August 17, 2026, the Centers for Medicare & Medicaid Services (CMS) will launch the Internet Quality Improvement and Evaluation System (iQIES) functionality for Payroll-Based Journal (PBJ) data submission and reports. Here’s what you need to know about the transition. Prepare Your iQIES Account You must register for PBJ roles in iQIES before you …
Question: If a resident falls because they were pushed or struck by another resident or object and sustains a fracture, should the fracture be coded as a major injury related to a fall? On page J-33 it states we would not count it as a fracture related to a fall …
The Centers for Medicare & Medicaid Services (CMS) has updated its Skilled Nursing Facility 3-Day Rule Billing MLN booklet. While the basic qualifying stay requirements remain the same, the revised guidance includes an important update for facilities participating in certain Medicare payment models, such as Accountable Care Organizations (ACOs) and …
AAPACN’s GG Trivia Games are fun education tools to help nurse aides and other direct care staff understand the performance levels and functional tasks for section GG. The nurse assessment coordinator or delegate hosts the GG Trivia Game and direct care staff are the players. The GG Trivia Game comes …
Question: Should a Significant Change in Status Assessment (SCSA) be completed for a resident who develops two new venous stasis ulcers? Answer from Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC: What else has changed with this resident? The decline must impact more than one area of the resident’s health status, not …
Question: A resident has had a Stage 4 pressure ulcer for years. The provider is now documenting the wound as skin failure/Kennedy terminal ulcer. Is this appropriate, and should the ulcer no longer be coded as a pressure ulcer? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: This ulcer …
This document shows how to upload assessments, create and manage assessments, complete change requests, review Final Validation Reports (FVR), and use the Validation Utility Tool (VUT) in iQIES. Jun 24, 2026 From https://qtso.cms.gov/software/iqies/reference-manuals
Announced on 06/29/2026 | Last Modified on 06/29/2026 | Project Number: OEI-02-23-00202 Status Active Agency Centers for Medicare and Medicaid Services OBJECTIVE The overuse of antipsychotic drugs presents a risk to nursing home residents, particularly those with dementia. These drugs are not approved to treat dementia, and the Food and Drug Administration has warned that …
