White Paper: FY 2024 SNF PPS Proposed Rule: SNF QRP and SNF VBP Changes Galore

The Centers for Medicare & Medicaid Services (CMS) recently posted the Fiscal Year (FY) 2024 Skilled Nursing Facility Prospective Payment System (SNF PPS) proposed rule for public inspection. The payment news is good—a 3.7 percent ($1.2 billion) aggregate increase in fee-for-service (FFS) Medicare Part A payments to SNFs in FY …

HHS EMR Cybersecurity Alert and New Resources re: Rising Threat of Cyberattacks in Health and Public Health Sector

Alert: Electronic medical records (EMRs) and electronic health records (EHRs) are often used interchangeably. An EMR allows the electronic entry, storage, and maintenance of digital medical data. EHRs contain patients’ records from doctors and include demographics, test results, medical history, history of present illness (HPI), and medications. EMRs are part …

Respiratory Care: Lay the Groundwork to Avoid Common Citations

In calendar year (CY) 2022, F-tag 695 (Respiratory/Tracheostomy Care and Suctioning) was the 11th most commonly cited F-tag nationwide. In comparison, F695 was the 16th most common citation overall in CY 2021 and only the 20th most common overall in pre-pandemic 2019, according to QCOR data accessed on Feb. 3, …

MDS 3.0 Care Area Trigger (CAT) Specifications V1.06.0 for Implementation on Oct. 1, 2023

The MDS 3.0 CAT specifications (V1.06.0) are now available.  The specifications currently consist of the PDF documentation files, which describe the logic changes and provide pseudocode.  Note that many of the CAT triggers are changing as a result of the V3.01.0 MDS Data Specification changes already posted.  In the recent …

FY 2024 SNF PPS Proposed Rule: SNF QRP and SNF VBP Changes Galore

On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) posted the Fiscal Year (FY) 2024 Skilled Nursing Facility Prospective Payment System (SNF PPS) proposed rule for public inspection. The payment news is good—a 3.7 percent ($1.2 billion) aggregate increase in fee-for-service (FFS) Medicare Part A payments to …

Long COVID May Be Lurking: Learn How to Help Residents

The Centers for Disease Control and Prevention (CDC) now uses the term “post-COVID conditions” (PCC) to label the multitude of physical and mental health consequences that some people—including those who had an initial mild or asymptomatic acute SARS-CoV-2 infection—continue to experience four or more weeks post-infection, according to Post-COVID Conditions: …

Achieving Strong Resident Quality of Life Starts With Better Staff Management

Quality of life is a “fundamental principle” that feeds into—and flows from—all resident care and services, according to 42 Code of Federal Regulations (CFR) §483.24. The F-tag 675 surveyor guidance in Appendix PP of the State Operations Manual offers insights on the definition of quality of life and what it …

Culturally Competent Care Planning: What It Takes to Get It Right

Effective with the Oct. 1, 2023, implementation of MDS v1.18.11, items A1005 (Ethnicity), A1010 (Race), A1110 (Language), and B1300 (Health Literacy) will provide nurse assessment coordinators (NACs) and other interdisciplinary team members with a starting point for creating more culturally competent care plans—especially if the team conducts a more detailed …

Pain Management for Residents With OUD: Prioritize Staff Training

Like every aspect of nursing home operations, staff education and training are critical to providing pain management for residents with opioid use disorder (OUD), other substance use disorders, or an addiction history. Each resident’s pain management plan should be highly resident-centered and individualized, says Annette Sanders, MSN, RN, CLNC, ICP, …