OIG to do Nationwide Analysis of Antipsychotic Drug Use in Nursing Homes

Announced on 06/29/2026 | Last Modified on 06/29/2026 | Project Number: OEI-02-23-00202 Status Active Agency Centers for Medicare and Medicaid Services OBJECTIVE The overuse of antipsychotic drugs presents a risk to nursing home residents, particularly those with dementia.  These drugs are not approved to treat dementia, and the Food and Drug Administration has warned that …

Getting Discharge Function Scores Right: What MDS Coordinators Need to Know

By Sandra Rich, RN | SVP of Clinical Reimbursement, Limitlessli If you coordinate MDS assessments in a skilled nursing facility, you already know the Discharge Function Score is one of the most consequential measurements you’ll capture. It influences your facility’s Quality Reporting Program performance and ultimately how your facility is …

iQIES will Implement an Inactive User Policy

To: iQIES Users, CMS Staff Inactive iQIES User Accounts CMS security policy requires iQIES to deactivate user roles for inactive accounts. To meet this requirement, iQIES will apply an inactive user policy beginning this month. This policy helps CMS keep the system safe and secure. How the Policy Works You …

Extended Q&A from the April 30, 2026 AAPACN Webinar, Declutter Your Coding: Spring Cleaning Tips for ICD-10-CM Success in LTC

In this LTC NAC Chat podcast episode, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, curriculum development specialist for AAPACN, continue to answer questions from the AAPACN webinar, Declutter Your Coding: Spring Cleaning Tips for ICD-10-CM Success in LTC, which was presented April 30, 2026.

ICD-10-CM Coding Spotlight Series – Part 6: Accurate Alzheimer’s and Dementia Coding in the LTC Setting

Listen to this article Your browser does not support the audio element. June’s Alzheimer’s & Brain Awareness Month serves as a powerful reminder of the growing impact of cognitive disorders in long-term care (LTC) settings, where many residents live with complex dementia-related needs. Interdisciplinary teams care for residents whose diagnoses …

Navigating Drug Regimen Review on the MDS: Clinical Judgment Is Key

Listen to this article Your browser does not support the audio element. The ability to identify and act upon potential or actual clinically significant medication issues drives the coding of N2001 (Drug Regimen Review) and its companion item N2003 (Medication Follow-Up) on the PPS 5-Day MDS, as well as N2005 …

Q&A: Can IV chemotherapy be excluded from consolidated billing during a Part A stay?

Question: Can IV chemotherapy be excluded from consolidated billing during a Part A stay? Answer from Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC: Exclusion for chemotherapy is based on the Healthcare Common Procedure Coding System (HCPCS) code as long as the chemotherapy is not delivered in the SNF. You certainly can …

Q&A: What costs should be included when explaining a SNF ABN to a resident?

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 …

Q&A: If a resident revokes hospice services, does the ARD need to be scheduled to avoid coding hospice in O0110K?

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 …