PDPM Nursing Component Clarified: Part 1

Members: Free |  Non-members: $101Continuing Education: 1.0 CE hour Date: February 9, 2022Time: 2 pm ET, 1 pm CT, Noon MT, 11 am PTDuration: 60 minutesSpeaker: Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC The nursing component of the Patient-Driven Payment Model (PDPM) has two main steps in the methodology to achieve the final case-mix group …

Five-Star Help Line Open Jan. 24 – Feb. 4

The Five Star Preview Reports will be available on January 20, 2022. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the ‘Folders’ button, then select ‘My Inbox’ or the Inbox beginning with ‘LTC’ …

State RAI Coordinator and State Contact List / Appendix B, RAI User’s Manual Update (1/22)

The January 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 …

Jan. 27 SNF/LTC Open Door Forum: Agenda and Call-in Information

The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for:   Date:  Thursday, January 27, 2022 Start Time:  2:00 PM – 3:00 PM Eastern Time (ET); Please dial-in at least 15 minutes before call start time. Conference Leaders: Todd Smith & Jill Darling **This Agenda …

Five-Star Technical User’s Guide Plus Claims-Based Measures Appendix (1/22)

CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Nursing Home Compare Web site features a quality rating system that gives each nursing home a rating of between 1 and 5 stars. Nursing homes with 5 stars are considered …

SNF QRP’s SNF Provider Preview Reports – Now Available (1/22)

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

National Healthcare Safety Network (NHSN) Long-term Care Facility COVID-19 Reporting Module Website UPDATED (1/22)

Most recent updates: January 2022 CDC’s NHSN provides healthcare facilities, such as long-term care facilities (LTCFs), with a secure reporting platform for reporting outcomes and process measures in a systematic way. Reported data are immediately available for use in strengthening local and national surveillance, monitoring trends in infection rates, assisting in …

Q&A: If a mechanically altered diet is being trialed during a speech therapy visit to facilitate oral intake, could K0510C, mechanically altered diet, be coded on the MDS?

Question: We are seeking clarification on MDS item K0510C, mechanically altered diet. If a resident is being trialed on a mechanically altered diet or given thickened liquids provided during a speech therapy visit to facilitate oral intake, could K0510C, mechanically altered diet, be coded on the MDS if it was …

Q&A: A resident developed a new pressure ulcer while on leave of absence with family for Christmas. Is this considered “present on admission” or “in-house acquired”?

Question: A resident developed a new pressure ulcer while on leave of absence with family for Christmas. Is this considered “present on admission” or “in-house acquired”? Answer: Since we do not complete an OBRA Discharge assessment for LOAs, the resident remains “yours”, so any falls or development of problems, including …

Q&A: What is the requirement for physician certifications when a resident transitions from Managed care to Original Medicare Part A?

Question: A resident admitted under a managed care plan on December 15, but disenrolled and went to Original Medicare as of January 1. What is the requirement for physician certifications?   Answer: Restart Medicare physician certifications after the beneficiary disenrolls from Managed Care to Medicare. The first day of Original Medicare …