The Centers for Medicare & Medicaid Services (CMS) has updated its Skilled Nursing Facility 3-Day Rule Billing MLN booklet. While the basic qualifying stay requirements remain the same, the revised guidance includes an important update for facilities participating in certain Medicare payment models, such as Accountable Care Organizations (ACOs) and …
In this LTC NAC Chat podcast episode, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialist for AAPACN, continue to answer questions from the AAPACN webinar, Declutter Your Coding: Spring Cleaning Tips for ICD-10-CM Success in LTC, which was presented April 30, 2026.
Podcast: Play in new window | Download (Duration: 48:28 — 28.9MB) | Embed
Listen to this article Your browser does not support the audio element. June’s Alzheimer’s & Brain Awareness Month serves as a powerful reminder of the growing impact of cognitive disorders in long-term care (LTC) settings, where many residents live with complex dementia-related needs. Interdisciplinary teams care for residents whose diagnoses …
Question: Can IV chemotherapy be excluded from consolidated billing during a Part A stay? Answer from Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC: Exclusion for chemotherapy is based on the Healthcare Common Procedure Coding System (HCPCS) code as long as the chemotherapy is not delivered in the SNF. You certainly can …
Question: I have always thought that delivery of the SNF ABN (CMS – 10055) notice offers the Medicare recipient the opportunity to pay for the Medicare Part A services being cut. I was told the cost should only include the daily bed rate. How should I explain this notice to …
The October 1, 2026 diagnosis code update files are now available. Use these files for discharges occurring from October 1, 2026 – September 30, 2027 and for patient encounters occurring from October 1, 2026 – September 30, 2027. The 2027 ICD-10-CM & PCS files section below contains information on the …
The Centers for Medicare & Medicaid Services (CMS) is offering a one-page resource that clarifies when an OBRA Discharge assessment is required under the MDS 3.0 RAI User’s Manual (Chapter 2). This resource outlines the primary discharge criteria, including hospital admissions, observation stays greater than 24 hours, and discharges to other care …
The June 2026 Quarterly Confidential Feedback Reports for the FY 2027 SNF VBP Program are now available for download via the Internet Quality Improvement and Evaluation System (iQIES). These reports provide SNFs their facility-level measure results for all eight quality measures during their FY 2027 SNF VBP Program performance period: Note: …
From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing/scoring-methodology-payment-adjustment
In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialist with AAPACN, discuss getting to know your Medicare Administrative Contractor. Additional Resources:
Podcast: Play in new window | Download (Duration: 10:44 — 6.8MB) | Embed
