Q&A: If a mechanically altered diet is being trialed during a speech therapy visit to facilitate oral intake, could K0510C, mechanically altered diet, be coded on the MDS?

Question: We are seeking clarification on MDS item K0510C, mechanically altered diet. If a resident is being trialed on a mechanically altered diet or given thickened liquids provided during a speech therapy visit to facilitate oral intake, could K0510C, mechanically altered diet, be coded on the MDS if it was …

Q&A: What is the requirement for physician certifications when a resident transitions from Managed care to Original Medicare Part A?

Question: A resident admitted under a managed care plan on December 15, but disenrolled and went to Original Medicare as of January 1. What is the requirement for physician certifications?   Answer: Restart Medicare physician certifications after the beneficiary disenrolls from Managed Care to Medicare. The first day of Original Medicare …

jRAVEN Free MDS Software Updated to v1.8.0 (1/22)

The Resident Assessment Validation and Entry System (jRAVEN) was developed by the Centers for Medicare & Medicaid Services (CMS). jRAVEN is a free Java based software application which provides an option for facilities to collect and maintain MDS Assessment data for subsequent submission to the appropriate state and/or national data …

FY 2022 Final PDPM Grouper Updated (12/21)

An updated version of the PDPM Grouper has been posted with the new version number V2.0002 and will be implemented into the MDS ASAP system on Thursday, January 6, 2022.  This update addresses two issues with the NTA comorbidities mapping. First, it corrects an issue where diagnosis codes were mapped …

FY 2022 ICD-10-CM Code Files and Official Coding Guidelines Effective April 1, 2022 – Sept. 30, 2022 Updated (12/21)

New ICD-10-CM code for Post-COVID Conditions, following the 2019 Novel Coronavirus (COVID-19) Announcement New ICD- code-for-Post-COVID-Condition-April 2022 pdf icon[PDF – 86 KB] April 1, 2022 release of ICD-10-CM  The 2022 ICD-10-CM codes are to be used from April 1, 2022 through September 30, 2022.    Note: This replaces the FY 2022 …

PDPM At-a-Glance Tool

The PDPM At-a-Glance tool breaks down the complex methodology of each component used in the Patient-Drive Payment Model—physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), non-therapy ancillaries (NTA), and nursing. This tool provides key payment information organized to provide the nurse assessment coordinator (NAC) with quick access to understanding …

Q&A: What are the changes affecting SNFs in the updated blanket waiver that was recently released?

The COVID-19 Emergency Blanket Waivers for Health Care Providers that was updated and released on Nov 29, 2021 adds a new waiver that allows more flexibility in the education and training requirements for individuals serving as Directors of Food and Nutrition Services. Want to read more Q&As? Visit the AAPACN …

PDPM: Extensive Services Nursing Category Simplified

Editor’s note: This is the first article in a series on the PDPM categories for the nursing component, covering missteps to avoid in PDPM calculation, as well as essential coding tips. Future articles will address the additional nursing categories of Special Care High, Special Care Low, Clinically Complex, Behavior and …

SNF VBP and SNF QRP MUC List Includes VBP Nursing Hours Measure (12/21)

The annual Measures Under Consideration (MUC) List from CMS includes four SNF VBP measures and two SNF QRP measures. 2021 MUC List (PDF) from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Pre-Rulemaking See Appendix A for measure specifications. MUC ID Measure Title Description Measure Type Measure Steward CMS Program(s) MUC2021 -095 CoreQ: Short Stay Discharge Measure The …

2022 SNF Consolidated Billing HCPCS Code File (12/21)

Note that pre-2022 changes are included in this update. 2022 Part A MAC Update https://www.cms.gov/medicare/snf-consolidated-billing/2022-part-mac-update2022 Downloads 2022 Annual SNF Consolidated Billing HCPCS Updates (ZIP) General Explanation of the Major Categories for SNF CB (PDF) Part A MAC Update: The SNF consolidated billing file reflects new codes that have been developed …