Nurses use a common problem-solving technique in root-cause analysis called the “Five Whys.” This method asks “why?” as many times as needed to determine the root cause of the problem. Sometimes this process requires more than five “whys” to reveal the root cause; other times it can take less. When …
Question: For residents who have intrathecal pain pumps, this is coded under IV medications (O0110H1), but how do I code this under IV access (O0110O1)? Answer from Jessie McGill, RN, BSN, RAC-MT, RAC-MTA: In the coding instructions for IV medications O0110H1, the RAI User’s Manual allows us to code “epidural, …
Question: If a resident discharges to the hospital after a fall, and the hospital later notifies us that the resident is being admitted due to a fracture from the fall, do we need to modify the discharge assessment to capture the fracture in section I, diagnoses? What about section J …
Question: When making a correction to a completed assessment prior to submission, are we required to enter the date the correction was made in Z0500B? Answer from Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC: Unless it is the MDS completion date itself that is being corrected, you would not …
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, curriculum development specialist for AAPACN, discuss key insights to determine section GG usual performance.
Podcast: Play in new window | Download (Duration: 14:11 — 8.7MB) | Embed
Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025 Filed on: 03/28/2024 at 4:15 pm Scheduled Pub. Date: 04/03/2024 PDF 211 Pages (592 KB) Permalink Press release On March 28, 2024, the Centers for …
The care area assessments (CAAs) are a vital part of the Resident Assessment Instrument (RAI) process to develop a plan for individualized resident care. Taking shortcuts with the CAA process can result in generic care plans that fail to recognize the unique needs, choices, and preferences of each resident. Understanding …
In early March, the Centers for Medicare & Medicaid Services (CMS) released the MDS Data Specifications V3.02.0 (DRAFT). These draft files detail the following changes tentatively scheduled for Oct. 1, 2024: CMS also clarified that section S item additions are not present in this draft version but will be present …
Question: A resident discharged from hospice with one company and enrolled with a different hospice provider a week later. Do I need to complete a Significant Change in Status Assessment (SCSA) for both the hospice discharge and again for the new hospice enrollment? Answer from Carol Maher, RN-BC, RAC-MTA, RAC-MT, …
Question: On a discharge assessment, the documentation showed that the resident refused the last three weekly skin assessments and there is no other documentation in the medical record regarding skin condition. How do I code M0100, M0210, and M0300? Answer from Jessie McGill, RN, BNS, RAC-MTA, RAC-CTA: For M0100, you …
