Listen to this article Your browser does not support the audio element. Medicaid Case-Mix: Make the Nursing Component a Top Priority Many Medicaid case-mix states that use the MDS have transitioned or are in the process of transitioning to a case-mix system that is based on the Patient-Driven Payment Model …
Listen to this article Your browser does not support the audio element. How to Address ‘I Can’t’ or ‘I Won’t’ When Staff Seem Resistant to Change Change is a constant in nursing home settings, says Alice Bonner, PhD, RN, FAAN, senior advisor for Aging at the Institute for Healthcare Improvement …
Report number: A-09-24-02005 Report Materials Why OIG Did This Audit What OIG Found Not all nursing homes’ RN staffing hours reported in CMS’s PBJ were supported in accordance with Federal requirements. On the basis of our sample results, we estimated for our sampling frame that for March 2024 nursing homes …
Listen to this article Your browser does not support the audio element. The ability to identify and act upon potential or actual clinically significant medication issues drives the coding of N2001 (Drug Regimen Review) and its companion item N2003 (Medication Follow-Up) on the PPS 5-Day MDS, as well as N2005 …
Resident care observations and staff interviews are both core components of the long-term care survey process, so surveyors have multiple opportunities to interact with all levels of nursing staff, says Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, NHA-MT, director of education and certification strategy for AAPACN. “Teaching staff the survey …
Listen to this article Your browser does not support the audio element. The OBRA Significant Correction to Prior Assessment (SCPA), which includes the Significant Correction to Prior Quarterly Assessment and the Significant Correction to Prior Comprehensive Assessment, is one of the most misunderstood parts of the Resident Assessment Instrument (RAI) …
Listen to this article Your browser does not support the audio element. In the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2027, officially published on April 7, 2026, the Centers for Medicare & Medicaid Services (CMS) proposes some earth-shaking …
Listen to this article Your browser does not support the audio element. In September 2025, the Office of Inspector General (OIG) rang the alarm bell on MDS coding inaccuracies involving falls with major injury, and the Centers for Medicare & Medicaid Services (CMS) took actions that every director of nursing …
Listen to this article Your browser does not support the audio element. In the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2027, officially published on April 7, 2026, the Centers for Medicare & Medicaid Services (CMS) proposes some earth-shaking …
Listen to this article Your browser does not support the audio element. Under the Skilled Nursing Facility Quality Reporting Program (SNF QRP), SNFs must meet an annual 90 percent MDS submission threshold to help avoid a 2 percent cut in their annual payment update (APU) in the applicable fiscal year …
