5 Qualities of a Successful Nurse Assessment Coordinator

A nurse assessment coordinator (NAC) has many important qualities; however, there are a few that you should really keep in mind if you want to be successful in your job. 1.       Learner/adaptable – The long-term care nursing environment is always changing. New government regulations are updated and changed every year (the RAI User’s Manual, Quality …

Why Should I Become a Certified Nurse Assessment Coordinator (NAC)?

Nurse assessment coordinators (NACs) are required to understand the extensive and complex regulatory body surrounding the RAI/MDS process and regulations are always changing. Coding correctly and having keen assessment skills are also very important parts of a NAC’s job, which lead to the best care possible for residents and accurate Medicare …

5 Tips for Surviving Your RAC-CT Certification

Achieving your Resident Assessment Coordinator—Certified (RAC-CT®) certification is a tremendous accomplishment for a nurse assessment coordinator in long-term care; however, the road isn’t easy. It takes hours of studying, in-depth learning and critical thinking, and focus to complete the 10 courses and pass the exams. If you are considering embarking on your …

Q&A: Does anyone have an ‘International Dysphagia Diet Standardization Initiative’ policy?

Question: Does anyone have an ‘International Dysphagia Diet Standardization Initiative’ policy? Answer: The IDDSI framework has many resources and guidance on how to implement the framework. https://iddsi.org/framework/  Consider convening a meeting with the dietitian, ST, dietary manager, and the rep from your food service company to discuss use and implementation. …

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 …

How to Help LTC Residents Overcome Loneliness During the Holiday Season

For staff, the holidays can be a busy time full of family gatherings and holiday celebrations, but for our residents, the holidays can be an especially lonely time. Our residents must adjust to so many different circumstances as they age — issues such as physical disability, loss of independence, social …

Q&A: Are we responsible for dental appointments (toothache) on our Medicare Part A residents or does the dentist bill the family?

Question: Are we responsible for dental appointments (toothache) on our Medicare Part A residents or does the dentist bill the family? Answer: Dental coverage is not part of the Medicare Part A program, so the cost is also not the facility’s responsibility. In other words, there is no dental money …

Q&A: How should diagnoses be listed on the UB-04 claim?

Question: I understand that the diagnosis in I0020B should be listed as the principal diagnosis on the UB-04 claim; however, should the remaining diagnoses be listed in order according to the main reasons the resident is skilled how we list the codes in I8000, to include the codes that are …

Policy and Procedure Review and Development Guide Tool

Policies and procedures are essential to the operation of your organization because they provide written structure and clarity for employees and inform all staff of the expectations for how to go about the work they do. Survey agencies review a facility’s policies and procedures as part of their investigation to …