In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-MT, RAC-MTA, president and CEO of Celtic Consulting, and AAPACN board member, dispel some common myths and concerns related to Medicare Advantage plan management in skilled nursing …
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Gathering all of the necessary reports for the triple check meeting is a lot for nurse assessment coordinators (NACs) to keep track of. AAPACN’s NAC Preparation Guide for the Triple Check Meeting tool can help keep the NAC organized and ensure all requirements of Medicare billing are in place prior …
Think about individualization like the almost endless variations of coffee drinks available these days. With an extra pump of this or a drizzle of that, we enjoy endless ways to individualize our order. Beyond coffee, we all have our own routines and ways to complete different tasks, from what we …
Nurse assessment coordinators (NACs) will soon begin preparing the interdisciplinary team for the finalized MDS 3.0 version 1.19.1 item set changes, as well as the revised coding instructions in the yet-to-be-finalized Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual v1.19.1 (RAI User’s Manual), that will go into effect on …
Skilled nursing facility (SNF) staff must understand the intricate guidelines that regulate Medicare Part A coverage for SNF stays. Several technical requirements must be met before a resident qualifies for a Medicare Part A SNF stay. For example, the resident must have benefit days available, meet the 3-day qualifying hospital …
The 30-day transfer rule and its medical appropriateness exception typically don’t come up on a daily basis in skilled nursing facilities (SNFs), yet these requirements—and flexibilities—are a key component of the fee-for-service Medicare Part A rules for SNF coverage in chapter 8, “Coverage of Extended-Care (SNF) Services Under Hospital Insurance,” …
The Quick Guide to the SNF QRP iQIES Report: Resident-Level QM Report tool offers detailed information on how to interpret the SNF QRP Resident-Level Report for each MDS-based measure, depending on if the resident has not triggered (NT) or has triggered (X). This AAPACN resource is copyright protected. AAPACN individual …
Many new nurse assessment coordinators (NACs)—and even some experienced ones—don’t understand what counts as a late MDS assessment, what counts as a missed MDS assessment, or what the financial ramifications are for late vs. missed assessments in the Skilled Nursing Facility Prospective Payment System (SNF PPS), says Robin Hillier, CPA, …
Someone with an intelligence quotient (IQ) of 130 may be considered above average for intelligence but still not understand the complexities of the MDS 3.0 Quality Measures (QMs). This series of articles on QMs will improve the QM IQs of healthcare professionals in long-term care, starting here with two long-stay …
There are many reasons to beef up your facility’s restorative program, from reducing risk of functional decline, improving Five-Star and Quality Measure ratings, minimizing risk of falls and immobility, to improving reimbursement under PDPM. But doing so is easier said than done! AAPACN has develop an interactive guide to restorative …
