Sept. 23 and Sept 29 CDC Webinars: 2021 Changes to the Weekly NHSN COVID-19 Vaccination Data Collection Forms

Billing and Reimbursement / COVID-19 / DNS / NAC / Post-Acute Care News / Survey and Regulatory Compliance

Topic: 2021 Changes to the Weekly NHSN COVID-19 Vaccination Data Collection Forms for Long-Term Care Facilities Date: Thursday, September 23, 2021Time: 2:00 – 3:00 PM EST Register in advance for this webinar:https://cdc.zoomgov.com/webinar/register/WN_wQWphrcdRvCy4ATVbJ6BpQexternal icon After registering, you will receive a confirmation email containing information about joining the webinar.­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­     Participants will hear a recording …

LTCSP Survey Pathways Updated (9/21)

DNS / NAC / Post-Acute Care News / Survey and Regulatory Compliance

Available survey pathways include the following: LTC Survey Pathways – Updated 09/14/2021 (ZIP)   SNF Beneficiary Protection Notification Review Dining Observation Infection Prevention, Control & Immunizations.  Note: 9/14/2021 update for this pathway. Kitchen Observation Medication Administration Observation Resident Council Interview Quality Assessment and Assurance (QAA) and Quality Assurance and Performance Improvement …

LTCSP Survey Resources: Surveyor Tools Updated (9/21)

DNS / NAC / Post-Acute Care News / Survey and Regulatory Compliance

This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going into facilities, including, for example, a document detailing their principles of documentation, a document showing how …

FY 2022 SNF PPS Final Rule Highlights with Jessie McGill

Billing and Reimbursement / NAC / Podcast

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, AAPACN vice president of education and certification strategy, and AAPACN curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, talk about the Skilled Nursing Facility Prospective Payment System – (SNF PPS) Fiscal year 2022 Final Rule and what nurse assessment …

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PDPM: Clearing Up NTA Confusion

Article / Billing and Reimbursement / NAC

At first glance, the methodology of the non-therapy ancillary (NTA) component of the Patient-Driven Payment Model (PDPM) seems simple: code qualifying items on the MDS to achieve points. Yet while the purpose of the NTA component is simple—to capture high expense medications and supplies—its calculation is more complex. Under PDPM, …

SNF HAI Measure Puts the Spotlight on Billing, Not Just Infection Prevention

Article / Billing and Reimbursement / NAC

The Skilled Nursing Facility Healthcare-Associated Infections (SNF HAI) Requiring Hospitalization measure is one of two new quality measures (QMs) that the Centers for Medicare & Medicaid Services (CMS) adopted into the Skilled Nursing Facility Quality Reporting Program (SNF QRP) effective with the fiscal year (FY) 2023 program year via the …

TIP: CMS Added Clarification to 3-Day Qualifying Hospital Stay Waiver

Billing and Reimbursement / COVID-19 / NAC / Tip

On Sept. 8, 2021, CMS released a revised Medicare FFS Response to the PHE on COVID-19 (SE20011),  including clarifications regarding the 3-day qualifying hospital stay (QHS) waiver. The following excerpt is from page 13 of this document, changes are italicized. The emergency SNF QHS and benefit period requirements under Section …

SNF QRP Quick Facts Tools

Billing and Reimbursement / NAC / Tool

Two new Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) measures become effective Oct. 1, 2021—the COVID-19 Vaccination Coverage Among Healthcare Personnel (HCP) and the Healthcare-Associated Infections (HAI) Requiring Hospitalization. AAPACN has put together the SNF QRP Quick Facts tools to provide NACs and their teams with an at-a-glance breakdown …

Q&A: I have a resident taking a medication that is classified as an antineoplastic. Can I code chemotherapy at MDS item O0100A?

MDS 3.0 and the RAI Process / NAC / Q&A

Question: I have a resident taking a medication that is classified as an antineoplastic. Can I code chemotherapy at MDS item O0100A? Answer from Forrest Deimel, RN: If the antineoplasm medication is used to treat active cancer, yes, code it. For example, I had a patient receiving an antineoplastic for …

Q&A: I was recently instructed to dash item K0100 if a resident has a PEG tube. Is this correct?

MDS 3.0 and the RAI Process / NAC / Q&A

Question: I was recently instructed to dash item K0100 if a resident has a PEG tube. Is this correct? Answer from Janine Cortesa RN, BSN: The RAI User’s Manual does not state to dash if a PEG tube is used. It does state to evaluate for each of the issues listed. I …