COVID-19 Emergency Declaration Blanket Waivers List Updated (6/22)

You can read the blanket waivers for COVID-19 in the List of Blanket Waivers (PDF) UPDATED (6/16/2022). From https://www.cms.gov/About-CMS/Agency-Information/Emergency/EPRO/Current-Emergencies/Current-Emergencies-page

MedPAC June 2022 report on Medicare and the Healthcare Delivery System (6/22)

The Medicare Payment Advisory Commission (MedPAC) releases its June 2022 Report to the Congress: Medicare and the Health Care Delivery System. Each June, as part of its mandate from the Congress, MedPAC reports on issues affecting the Medicare program as well as broader changes in health care delivery and the market for …

AAPACN Responds to CMS’s Comment Request for FY 2023 SNF PPS Proposed Rule

Jessie McGill, RN, RAC-MT, RAC-MTA and Alexis Roam, MSN, RN-BC, DNS-CT, QCP The annual rulemaking process enables stakeholders to comment on proposals that will affect skilled nursing facilities (SNFs) throughout the next year. In early April, the Centers for Medicare & Medicaid Services (CMS) issued its fiscal year (FY) 2023 …

TIP: CMS Releases Updated PBJ Manual

The Centers for Medicare & Medicaid Services (CMS) released the updated Version 2.6 Electronic Staffing Data Submission Payroll-Based Journal (PBJ) Long-Term Care Facility Policy Manual in June 2022. The update reinforces CMS’s message to validate submissions in the Certification and Survey Provider Enhanced Reporting System (CASPER). CMS notes, “Facilities should …

Quick Facts – SNF QRP Proposed Measure: Influenza Vaccination Coverage among Healthcare Personnel

The Centers for Medicare & Medicaid Services (CMS) proposed a new Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) measure that will potentially be included in FY 2025 program year. The Influenza Vaccination Coverage Among Healthcare Personnel (HCP), if finalized, would start data collection October 1, 2022. AAPACN has put …

Q&A: A resident on Medicare Part A for skilled therapy could not participate with therapy for a few consecutive days due to a clinical condition. Can he remain on skilled care during those days?

Question: A resident on Medicare Part A for skilled therapy could not participate with therapy for a few consecutive days because his Hemoglobin and Hematocrit were too low and he received blood transfusions. Will the transfusions cover him for skilled nursing during the days he missed therapy? Answer from Carol …

FY 2023 ICD-10-CM Codes and Official Coding Guidelines Effective Oct. 1, 2022 (6/22)

2023 release of ICD-10-CM The FY2023 ICD-10-CM codes are to be used from October 1, 2022 through September 30, 2023.    Note: This replaces the FY 2022 – April 1, release. These files listed below represent the ICD-10-CM FY2023 October 1, release. The October 1, FY2023 ICD-10-CM is available in both …

Medicare Part B Therapy Documentation Requirements MLN Fact Sheet (6/22)

Complying with Outpatient Rehabilitation Therapy Documentation Requirements Fact Sheet ICN: MLN905365 Product Description: Learn how to correctly bill for outpatient Physical Therapy, Occupational Therapy, and Speech-Language Pathology services to avoid common billing errors when submitting claims to Medicare. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/OutptRehabTherapy-Booklet-MLN905365.pdf

Part A Physician Certs/Recerts: Don’t Strike Out on This Condition of Payment

Physician certifications and recertifications are a technical requirement of payment (i.e., a condition of payment) under fee-for-service Medicare Part A. These certifications are needed to verify that a resident requires daily skilled care in a skilled nursing facility (SNF) for an ongoing condition for which they received inpatient hospital services …

Q&A: Should I complete an interim payment assessment (IPA) for a SNF resident who now tests positive for COVID and is newly receiving isolation for the active infection?

Question: I have two residents in my facility that admitted skilled on Medicare Part A and they have since both tested positive for COVID-19. My administrator would like to claim the isolation days and has asked me to complete an IPA for both. The residents have had no changes in function …