In this podcast, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, address some of the questions that were asked during the AAPACN Webinar, “SNF ABN, NOMNC, DENC – What Has Changed for this …
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Several sections may be useful, including Recommendations for Skilled Nursing Facilities to Improve Medical Record Documentation https://acentraqio.com/newsletter/crc/February2025postacute
For skilled nursing facilities (SNFs), diagnosis selection and accurate ICD-10-CM coding are essential for both quality resident care and compliance with regulations. For therapists providing skilled rehabilitation services, the ability to choose the correct diagnosis code is not only crucial for resident outcomes but also ensures proper reimbursement and avoids …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist with AAPACN, discuss a new method for auditing the Patient-Driven Payment Model (PDPM). Additional Resource:PDPM Audit by MDS Section
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Most methods for auditing Patient-Driven Payment Model (PDPM) reimbursement focus on impacts to the HIPPS code. However, AAPACN’s PDPM Audit by MDS Section tool uses an approach that can result in identifying missed opportunities for items that didn’t directly impact the HIPPS code. Nurse assessment coordinators can use this tool …
Current emergencies Southern California Wildfires – California (2025) Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) on January 10, 2025, giving us the flexibility to support our beneficiaries in the State of California, effective retrospectively since January 07, 2025. Additional information and resources …
The Centers for Medicare & Medicaid Services (CMS) implemented the Patient-Driven Payment Model (PDPM) in October 2019 for residents receiving Medicare Part A coverage in the skilled nursing facility (SNF). PDPM replaced the previous legacy payment model, the Resource Utilization Group (RUG-IV) system, still used by some state Medicaid agencies …
Question: Our facility recently had a bill rejected because the ICD-10 code of M62.81, Muscle weakness (generalized), and R53.1, Weakness, were both coded on the bill. Does anyone know the reason why they both cannot be on the same bill since they do seem to mean two different things? Additionally, …
CDC announces no new ICD-10-CM codes effective April 1, 2025. The April 1, 2025 diagnosis code update files now available address revisions and typographical errors. Use these files for discharges occurring from April 1, 2025 – September 30, 2025, and for patient encounters occurring from April 1, 2025 -September 30, …
Question: If the Notice of Medicare Non-Coverage (NOMNC) was not provided timely, is the facility liable for the days daily skilled services were no longer being provided until the last covered day (LCD) issued on the NOMNC? Answer from Jessie McGill RN, BSN, RAC-MT, RAC-MTA: The facility is liable until …
