Question: I have always thought that delivery of the SNF ABN (CMS – 10055) notice offers the Medicare recipient the opportunity to pay for the Medicare Part A services being cut. I was told the cost should only include the daily bed rate. How should I explain this notice to …
Question: If a resident revokes hospice services, does the ARD need to be scheduled to avoid coding hospice in O0110K? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: The Significant Change in Status Assessment (SCSA) to come off hospice must be completed within 14 days of the end of …
The Centers for Medicare & Medicaid Services (CMS) has released a one-page resource to help providers determine when an OBRA Discharge assessment is required under the MDS 3.0 RAI User’s Manual. The fact sheet outlines key discharge criteria, including hospital admissions, observation stays greater than 24 hours, and discharges to …
The Dementia Physician Query tool supports accurate clinical documentation by helping providers clarify the type, severity, and associated manifestations of a resident’s dementia diagnosis using information documented in the medical record. The tool also allows providers to identify when diagnostic details, including dementia type, severity, or behavioral manifestations, are unknown …
The October 1, 2026 diagnosis code update files are now available. Use these files for discharges occurring from October 1, 2026 – September 30, 2027 and for patient encounters occurring from October 1, 2026 – September 30, 2027. The 2027 ICD-10-CM & PCS files section below contains information on the …
The Centers for Medicare & Medicaid Services (CMS) is offering a one-page resource that clarifies when an OBRA Discharge assessment is required under the MDS 3.0 RAI User’s Manual (Chapter 2). This resource outlines the primary discharge criteria, including hospital admissions, observation stays greater than 24 hours, and discharges to other care …
The June 2026 Quarterly Confidential Feedback Reports for the FY 2027 SNF VBP Program are now available for download via the Internet Quality Improvement and Evaluation System (iQIES). These reports provide SNFs their facility-level measure results for all eight quality measures during their FY 2027 SNF VBP Program performance period: Note: …
From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing/scoring-methodology-payment-adjustment
The June 2026 Quarterly Confidential Feedback Reports for the FY 2027 SNF VBP Program are now available for download via the Internet Quality Improvement and Evaluation System (iQIES). These reports provide SNFs their facility-level measure results for all eight quality measures during their FY 2027 SNF VBP Program performance period: Note: …
In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialist with AAPACN, discuss getting to know your Medicare Administrative Contractor. Additional Resources:
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