The March 2024 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2025 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES). These reports contain interim stay-level data for the SNF 30-Day All-Cause Readmission Measure (SNFRM) for …
Question: A resident was on Hospice in community. He revoked hospice and had a qualifying hospital stay. He opted to receive rehab in the skilled nursing facility and then return to home. Medicare guidelines state traditional Medicare is responsible for his SNF stay through the end of the month of …
Transmittal # R12525OTN Issue Date 2024-03-01 Subject Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits Implementation Date 2024-04-01 CR #13360 Publication #100-20 Transmittal Year 2024
Question: When a resident is admitted to the nursing facility for hospice services, do we have to use the admitting hospice diagnosis as the primary diagnosis? Answer from Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC:Your team should determine the diagnosis that best reports the main reason the resident is …
Updated February 2024 The FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2026 QRP. A table providing the data elements that will be required to …
Announcements This is a friendly reminder to log into NHSN and make sure your facility has an active Facility Administrator. Please note that only the Facility Administrator can enroll a facility in a one or more components in NHSN, reassign the role of Facility Administrator, and manage/negotiate locations that are …
The FY2024 ICD-10-CM codes are to be used from April 1, 2024 through September 30, 2024. Note: This replaces the FY 2024 – October 1, 2023 release. These files listed below represent the ICD-10-CM FY2024 April 1, 2024 release. The April 1, 2024 FY2024 ICD-10-CM is available in both PDF (Adobe) …
SUMMARY REPORT PUBLISHED: SNF QRP Listening Session: Possible Expansion of MDS Data Submission to All SNF Patients Regardless of Payer CMS has published a summary report on the virtual SNF QRP Listening Session that was held on August 29, 2023 by Acumen, LLC. This session was held to seek feedback …
Medicare covers skilled nursing care and skilled therapy services under skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary needs skilled care to maintain function or to prevent or slow decline, as long as: Visit the Jimmo Settlement Agreement webpage for more information.
Question: If a resident on a Medicare Part A stay leaves the facility on a leave of absence (LOA) with the family and is back in the facility after two midnights, are any assessments required? Answer from Jennifer LaBay RN, RAC-MT, RAC-MTA, QCP, CRC:A temporary home visit does not require …
