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 the top five changes coming to the RAI User’s Manual this October and how they will impact nurse assessment coordinators (NACs). …
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Like care plan management and evaluation and observation and assessment of a resident’s condition, teaching and training activities are a core nonskilled component of resident care that can rise to the level of a skilled service. Another way that these indirect skilled services are alike is that they historically haven’t …
The newest section GG Quality Measure (QM), the Discharge Function Score, has left many nurse assessment coordinators (NACs) with more questions than answers about how it is calculated. This measure estimates the percentage of Medicare Part A skilled nursing facility (SNF) stays that meet or exceed an expected Discharge Function …
Question: Can an End of PPS be done since a resident is not leaving the facility but just changing payor sources? Answer from Jeff Taylor: Yes, it’s required for any discharge from Medicare Part A (except for death in facility). This AAPACN resource is copyright protected. AAPACN individual members may …
Question: A resident was placed in strict isolation and a COVID-19 test was completed due to complaints of a sore throat and cough. The test was negative, but the resident remains in isolation in room due to ongoing symptoms. Can isolation be coded on the MDS in this situation? Answer …
Question: If the registered dietitian writes that the resident is at risk for malnutrition, but the physician doesn’t review and sign that he agrees until after the ARD, should risk for malnutrition be coded on the MDS? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: The physician must document …
The Centers for Medicare & Medicaid Services (CMS) recently released the Hyperlink Update Supplement file to address external webpage changes. This file also addresses replacement links and replacement pages for the affected RAI User’s Manual v1.19.1 pages. This update includes a replacement link to the Centers for Disease Control and …
With the help of contractors, CMS revised the SNF ABN, Form CMS-10055, and the form instructions. The SNF ABN form and instructions are located in the download section and are available for immediate use, but will be mandatory for use on 10/31/2024. Skilled Nursing Facilities (SNFs) must issue a notice …
The Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.19.1R Hyperlink Update Supplement is now available. This is an informational document that includes hyperlinks (links) that have been identified as requiring an update over the lifetime of the MDS 3.0 RAI User’s Manual v1.19.1, effective October 01, 2024. Due to …
The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. The course also discusses the relationship between these data elements …
