OIG General Compliance Program Guidance (GCPG) Updated

The GCPG is a reference guide for the health care compliance community and other health care stakeholders.  The GCPG provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other items useful for understanding health care compliance. The GCPG is voluntary guidance that discusses general compliance risks and compliance programs.  The GCPG …

The Dietitian’s Role in Nursing and Reimbursement

To meet residents’ individualized needs, the director of nursing services (DNS) requires the expertise of many healthcare professionals working collaboratively, including the dietitian. This tool provides guidance on how to enhance collaboration between the nursing and dietary departments. This AAPACN resource is copyright protected. AAPACN individual members may download or …

SNF VBP QMs: What Just Happened, What’s Next—and What the DNS Should Monitor

On Oct. 1, 2023, the Centers for Medicare & Medicaid Services (CMS) kicked off a critical step in expanding the Skilled Nursing Facility Value-Based Purchasing program (SNF VBP) quality measure (QM) set. This expansion means that the director of nursing services (DNS) will need to work with both staff and …

Improving Collaboration with the Registered Dietitian

To meet residents’ individualized needs, the director of nursing services (DNS) requires the expertise of many healthcare professionals working collaboratively. For expertise on nutrition, the DNS should collaborate with the registered dietician (RD), who is an invaluable addition to the team for both the residents and the facility. This article …

How the Dietitian Can Help the DNS Improve Quality Outcomes

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Anna Sherman, RD, LD, a registered dietitian at RD Nutrition Consultants, discuss the registered dietitian’s role as a key member of the interdisciplinary team and how the director of nursing services (DNS) can …

Lessons From TPE Audits: How the DNS Can Lead Toward Better Skilled Documentation

In May 2023—after the Comprehensive Error Rate Testing (CERT) program determined that skilled nursing facility (SNF) Medicare Part A services have been “a top driver” of the overall Medicare fee-for-service improper payment rate since the switch to the Patient-Driven Payment Model (PDPM) on Oct. 1, 2019—the Centers for Medicare & …

Part of the Essential DNS Toolbox: Effective Daily Clinical Rounds

The director of nursing services (DNS) has many issues to prioritize each day, such as resident falls, staffing, and grievances. Unfortunately, the DNS may be tempted to relegate clinical rounds to “later,” considering them a low priority due to time constraints, which can prove to be a costly mistake. Daily …

What the DNS Needs to Know About Drug Regimen Review

Over the past few years, the Centers for Medicare & Medicaid Services (CMS) has placed increasing emphasis on drug regimen review (DRR) aka medication regimen review (MRR). Since 2018, skilled nursing facilities have captured one type of DRR/MRR in item N2001 (Drug Regimen Review) on PPS 5-Day MDS assessments for …

Tips for a Comprehensive Post-Admission Medical Record Review

Admissions are vital to a facility. They may occur daily, or even multiple times a day, and should be a part of routine operations. However, the admission process can be cumbersome, and it is easy for staff to miss things, especially if the facility receives multiple admissions in a shift. …

Operationalizing Change in the Workplace

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Linda Winston, RN, MSN, BS, RAC-CT, RAC-CTA, DNS-MT, QCP-MT, independent nurse consultant and educator, discuss how to operationalize change in the workplace. This podcast is sponsored by AAPACN Diamond business partner, MDS Consultants. …