CMS Maps Out Four Years of Big Changes and Forecasts Even More

Listen to this article Your browser does not support the audio element. In the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2027, officially published on April 7, 2026, the Centers for Medicare & Medicaid Services (CMS) proposes some earth-shaking …

Falls MDS Coding: Why the DNS Should Get Involved—and How to Do It

Listen to this article Your browser does not support the audio element. In September 2025, the Office of Inspector General (OIG) rang the alarm bell on MDS coding inaccuracies involving falls with major injury, and the Centers for Medicare & Medicaid Services (CMS) took actions that every director of nursing …

Preparing Psychotropic Practices for Survey: Strengthening Oversight Before It Becomes a Deficiency

Listen to this article Your browser does not support the audio element. Psychotropic medication use continues to be one of the most heavily scrutinized areas in long-term care, for good reason. At this juncture, clinical decision-making, resident quality of life, and regulatory compliance all come together. The goal is not …

SNF QRP: FY 2026 State-Level Compliance Gaps

Listen to this article Your browser does not support the audio element. The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP), often regarded as merely an exercise in reporting compliance, also has direct payment implications. Thus for SNFs, compliance reflects both quality and financial issues. The program asks facilities to …

Leave of Absence versus Interrupted Stay: The Effect of EHR Census Decisions

Listen to this article Your browser does not support the audio element. Skilled nursing facilities (SNFs) frequently manage residents who temporarily leave the building or experience a break in Medicare Part A coverage. On the UB-04, these situations may look the same, often reflected as gaps in covered days or …

ICD-10-CM Coding Spotlight Series – Part 4: Slips, Trips, and Fragile Bones: Why Not All Fractures Are Created Equal

Listen to this article Your browser does not support the audio element. As winter gives way to spring, many are relieved to leave behind icy sidewalks and the inevitable steady number of fall-related injuries that come with them. Yet in long-term care, fractures do not simply disappear with the snow; …

CMS Maps Out Four Years of Big Changes and Forecasts Even More

Listen to this article Your browser does not support the audio element. In the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2027, officially published on April 7, 2026, the Centers for Medicare & Medicaid Services (CMS) proposes some earth-shaking …

Sustainable DNS Leadership: How to Lead Without Losing Yourself

Listen to this article Your browser does not support the audio element. The role of leadership can’t be turned on and off at the end of a shift. For the director of nursing services (DNS), the work can feel continuous, intense, and deeply personal. Regulatory pressure, staffing challenges, resident acuity, …

Incentive Spirometry: A Win-Win for Residents, Nursing Teams, and PDPM Accuracy

Listen to this article Your browser does not support the audio element. Article contributed by AAPACN Solution Provider Limitlessli By Mary-Beth Newell, RN, BSN, MS, SVP of Clinical Reimbursement at Limitlessli In skilled nursing facilities, the most effective clinical interventions are not always the most complex. Often, they are the …

Ancillary Billing Review: Why the DNS Must Lead the Financial-Clinical Conversation

Listen to this article Your browser does not support the audio element. As the clinical leader of the largest operational department in a skilled nursing facility, the director of nursing services (DNS), in tandem with the administrator, plays a key role in financial oversight. Ancillary charges are rooted in nursing-driven …