FY 2027 SNF PPS Proposed Rule: Associated Resources

Billing and Reimbursement / DNS / MDS 3.0 and the RAI Process / NAC / Post-Acute Care News

From https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/list-federal-regulations/cms-1843-p DRAFT SNF QRP New and Modified Items with a Proposed Effective Date of October 1, 2031: FY27_Proposed_Rule_SNF_All_Payer_draft_mockups_MDS__508.pdf (PDF) From https://www.cms.gov/medicare/quality/snf-quality-reporting-program/measures-and-technical-information Draft MDS re: proposed removal of MDS item O0350 on Oct. 1, 2027: CMS-10387 from https://www.cms.gov/regulations-and-guidance/legislation/paperworkreductionactof1995/pra-listing-items/cms-10387

Falls with Major Injury: New CMS Guidance, Coding Clarity, and QAPI Strategies for SNFs

DNS / MDS 3.0 and the RAI Process / NAC / Partner Podcast / Podcast / QAPI and Quality Initiatives

In this LTC NAC Chat podcast episode, Sarah Becker, RN, Director of Clinical Reimbursement for Proactive LTC Consulting, and Christine Twombly, RN, RAC-MT, RAC-MTA, CQP, CRC, break down the updated CMS guidance on Falls with Major Injury and what it means for MDS coding, Quality Measures, survey outcomes, and resident …

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How to Discuss Your SNF’s Quality Measure Outcomes with External Parties

DNS / Podcast / QAPI and Quality Initiatives

In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, discuss how to have a conversation about your quality measure outcomes with external parties. …

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Sustainable DNS Leadership: How to Lead Without Losing Yourself

Article / DNS / Leadership and Management

Listen to this article Your browser does not support the audio element. The role of leadership can’t be turned on and off at the end of a shift. For the director of nursing services (DNS), the work can feel continuous, intense, and deeply personal. Regulatory pressure, staffing challenges, resident acuity, …

Incentive Spirometry: A Win-Win for Residents, Nursing Teams, and PDPM Accuracy

Article / Clinical Care Solutions / DNS

Listen to this article Your browser does not support the audio element. Article contributed by AAPACN Solution Provider Limitlessli By Mary-Beth Newell, RN, BSN, MS, SVP of Clinical Reimbursement at Limitlessli In skilled nursing facilities, the most effective clinical interventions are not always the most complex. Often, they are the …

Ancillary Billing Review: Why the DNS Must Lead the Financial-Clinical Conversation

Article / Billing and Reimbursement / DNS / Survey and Regulatory Compliance

Listen to this article Your browser does not support the audio element. As the clinical leader of the largest operational department in a skilled nursing facility, the director of nursing services (DNS), in tandem with the administrator, plays a key role in financial oversight. Ancillary charges are rooted in nursing-driven …

How to Access the Learner Dashboard, and Other AAPACN Education FAQs

Blog / DNS / NAC

More than 15,000 nursing professionals working in long-term care take AAPACN education online courses each year. One of the common questions AAPACN receives from new students is, “How can I access my Learner Dashboard?” The Learner Dashboard is the main online education hub where learners can review and start their …

Ancillary Billing Review Checklist

Billing and Reimbursement / DNS / Survey and Regulatory Compliance / Tool

The director of nursing services should review ancillary billing monthly to ensure that all billed services and supplies are clinically appropriate, documented accurately, and supported by skilled nursing care. The DNS can use this Ancillary Billing Review Checklist to help confirm compliance with Medicare Part A and Part B rules, …

TIP: QIO Provides Weather Preparedness Guide for Severe Weather

Clinical Care Solutions / DNS / Tip

The Quality Improvement Organizations (QIO) has developed a Severe Weather Preparedness Guide to help healthcare facilities prepare for and respond to severe weather events, including tornadoes, flooding, severe thunderstorms, hail, and late-season winter storms. This guide highlights key operational risks such as supply chain disruptions, utility outages, staffing shortages, and …

CMS QSO Memo: Updates to Chapters 5 and 7 of the State Operations Manual (Revised)

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

Memo # QSO-26-03-NH REVISED Posting Date 2026-04-03 Fiscal Year 2026 Downloads AAPACN note: Some of the key revisions in red from the memo are excerpted below. There are a number of significant changes to the chapters themselves, including a number of new definitions. Enforcement Guidance: Revises policies for Civil Money Penalties (CMP) to …