FY 2025 Final MDS 3.0 Item Sets version 1.19.1 Effective Oct. 1, 2024

The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.19.1 are now available. The MDS Item Sets v1.19.1 will be effective beginning October 01, 2024. Items in sections A, B, D, GG, I, J, N, and O are affected. From https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual

Social Determinants of Health (SDOH) MDS Coding Explainer Video

The Centers for Medicare & Medicaid Services is offering a 4-minute, animated explainer video, Social Determinants of Health (SDOH) Items: Using Sources Other Than the Resident to Code for SNF providers. This video is intended to assist providers in accurately determining when the use of other sources is allowed for SDOH items: A1005. …

PDPM Clinically Complex Nursing Qualifiers: Coding and Documentation Refresher

The Patient-Driven Payment Model (PDPM) includes four ways for a resident to classify into the Clinically Complex category of the Nursing payment component. If a resident has conditions or is receiving services that qualify for Extensive Services, Special Care High, or Special Care Low, but does not have a PDPM …

Tricky NAC Issues Even Some Experts Miss

Nurse assessment coordinators (NACs) definitely experience variety in their jobs, to state the obvious. Management and completion of the Minimum Data Set/Resident Assessment Instrument (MDS/RAI) process, Medicare management, and ICD-10-CM coding are just a few of the areas they are expected to master in their role. With these responsibilities alone, …

CDC: Implementation of PPE in Nursing Homes to Prevent Spread of MDROs

https://www.cdc.gov/long-term-care-facilities/hcp/prevent-mdro/PPE.html KEY POINTS How to implement personal protective equipment (PPE) use in nursing homes to prevent spread of multi-drug resistant organisms (MDROs). Summary of recent changes Enhanced Barrier Precautions in Nursing Homes – Video, Posters, Pocket Guide Videos Enhanced Barrier Precautions in Nursing Homes Enhanced Barrier Precautions in Nursing Homes …

Seven Ways NACs Can Be Proactive With New Medicare Advantage Plan Rules

A skilled nursing facility (SNF) accepts a resident in a Medicare Advantage plan for admission after the plan provides a prior authorization. The resident receives skilled services for the allotted amount of time, and the nurse assessment coordinator (NAC) and the rest of the interdisciplinary team follow the plan’s rules. …

SNF QRP: Where Is It? Where Is It Going?

Skilled nursing facilities (SNFs) today must manage more than 40 Quality Measures (QMs) from several different programs: the Minimum Data Set (MDS) 3.0 QMs, Five-Star Quality Rating System, SNF Value-Based Purchasing (VBP) program, and SNF Quality Reporting Program (QRP). The scope of quality management and improvement can be overwhelming, and …

MDS Tools to Make the NAC’s Job Easier

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialists for AAPACN, discuss AAPACN tools that make the nurse assessment coordinator’s (NAC’s) job easier. Additional Resources:

MDS Coding Criteria for Restorative Nursing Programs

Restorative nursing programs must meet specific criteria to code on the MDS. Failure to meet these criteria will result in inability to capture restorative nursing on the MDS. Nurse assessment coordinators can use the MDS Coding Criteria for Restorative Nursing Programs tool to audit documentation and provide education to nurses …