COVID-19 PHE: CMS Re-sets Key Rules for Nursing Homes

The parameters of the COVID-19 public health emergency (PHE) are shifting at a rapid pace for nursing homes. In the midst of their work to implement (and document) a staff vaccination plan that includes a tracking mechanism and an exemption and accommodation process, providers also must open their buildings to …

OIG: Facility-Initiated Discharges in Nursing Homes Require Further Attention (11/21)

The magnitude of facility-initiated discharges in nursing homes remains unknown. Many challenges exist to identifying and addressing inappropriate facility-initiated discharges, including that neither Administration for Community Living (ACL) nor Centers for Medicare and Medicaid Services (CMS) collect data on the number of facility-initiated discharges, and many State Ombudsmen do not …

JAMDA Study: CNAs Rushing Social or Physical Care Tasks = More Resident Behaviors (11/21)

Published online: November 21, 2021. The abstract is free and open to the public. Rushing Care by Care Aides Associated With Experiences of Responsive Behaviors From Residents in Nursing Homes

State RAI Coordinator and State Contact List / Appendix B, RAI User’s Manual Update (11/21)

The November update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. To ensure accurate formatting, use a current version of Adobe Acrobat Reader to view this PDF. Web-based or mobile browser plug-ins …

SNF PPS and Part B Therapy MedPAC Payment Basics Fact Sheets / Educational Tools (10/20)

Nov 03, 2021 / PAYMENT BASICS: SNF PPS Skilled nursing facility services payment system Nov 03, 2021 / PAYMENT BASICS: Part B therapy Outpatient therapy services payment system Additional payment basics tools: https://www.medpac.gov/document-type/payment-basic/

Part B Therapy (22x and 23x Bill Types): Reduced Payment re: PTAs and OTAs (11/21)

Transmittal 10934, dated August 13, 2021, is being rescinded and replaced by Transmittal 11129, dated, November 18, 2021 to update the background/policy section. Also, this Transmittal is no longer sensitive and may now be posted to the internet. All other information remains the same. SUBJECT: Reduced Payment for Physical Therapy …

CMS Summary of CY 2022 Medicare Physician Fee Schedule Final Rule Policies (11/21)

Transmittal # R11115CP Issue Date 2021-11-16 Subject Summary of Policies in the Calendar Year (CY) 2022 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List Implementation Date 2022-01-03 CR # 12519 Publication # …

SNF QRP’s SNF Provider Preview Reports – Now Available (11/21)

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores on quality measures, which will be published on Care Compare (CCXP) and Provider Data Catalog (PDC) during the January 2022 refresh of the website. The data contained within the Preview Reports is based on quality assessment …

The Daily Clinical Brief Sets a Nursing Unit Up for Success

Nurse leaders who hear comments like “I didn’t know that happened,” “I didn’t realize that was important,” or “I didn’t know you wanted me to do that” from the charge nurses and certified nurse aides (CNAs) may feel frustrated and confused about why a gap exists between their expectations and …

The Era of Agency Staff: How to Prevent Immediate Jeopardies

While still a small percentage of overall nursing home citations, citations at the level of immediate jeopardy (IJ) have skyrocketed since the start of the COVID-19 public health emergency, largely driven by an explosion of IJ-level citations under F-tag 880 (Infection Prevention and Control), according to the Citation and Frequency …