Q&A: A resident on a Medicare Part A stay was sent to the emergency department by ambulance at 6:45 p.m. on Feb. 2 and returned to the facility just after midnight without being admitted to the hospital. Would this situation qualify as an interrupted stay?

MDS 3.0 and the RAI Process / NAC / Q&A

Question: A resident on a Medicare Part A stay was sent to the emergency department by ambulance at 6:45 p.m. on Feb. 2 and returned to the facility just after midnight without being admitted to the hospital. Would this situation qualify as an interrupted stay? Answer from Jeff Taylor:The interrupted …

CMS Finalized Standards for Claims Attachments and Electronic Signatures to Phase Out Fax Machines, Snail Mail for Claims-Related Documentation

Billing and Reimbursement / DNS / NAC / Post-Acute Care News / Technology and IT

The Centers for Medicare & Medicaid Services (CMS), on behalf of the U.S. Department of Health and Human Services (HHS), is making our shareholders aware of the “Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures (CMS-0053-F)” Final Rule that displayed today, March 20, 2026, and will …

ABN (Form CMS-R-131) for Part B SNF Services

Billing and Reimbursement / DNS / NAC / Post-Acute Care News / Survey and Regulatory Compliance

The Office of Management and Budget (OMB) has approved the control number for the Advance Beneficiary Notice of Non-coverage (ABN) (CMS-R-131).  CMS is notifying the industry through our website, and the Medicare Learning Network and has posted the updated version of the ABN below. The updated ABN is effective now …

OIG: Nursing Homes Inappropriately Diagnosed Residents with Schizophrenia to Mask the Misuse of Antipsychotic Drugs

DNS / MDS 3.0 and the RAI Process / NAC / Post-Acute Care News / Survey and Regulatory Compliance

Report Materials Why OIG Did This Review What OIG Found OIG’s comprehensive review of 40 nursing home inspections completed by CMS found instances of nursing homes inappropriately diagnosing residents with schizophrenia. Specifically, our review of these inspections found instances in which: What OIG Recommends OIG recommends that CMS: CMS did …

2026 Clinical Practice Guideline on the Management of Dyslipidemia

Care Planning / Clinical Care Solutions / DNS / NAC / Post-Acute Care News

Free access 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines This guideline retires and replaces the 2018 Guideline on the Management of Blood Cholesterol. It addresses the evaluation, management, and monitoring of individuals with dyslipidemias, …

American Society of Nephrology Clinical Practice Guideline: Conservative Management in People with Kidney Failure

Care Planning / Clinical Care Solutions / DNS / NAC / Post-Acute Care News

New ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure and Executive Summary now available. Press release Newswise — Washington, DC (March 18, 2026) —The American Society of Nephrology (ASN) today released its latest Kidney Health Guidance (KHG): Conservative Management in People with Kidney Failure, in the Journal of the American Society …

iQIES Onboarding Process – Provider Security Official Update

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

Overview This job aid provides the steps involved to onboard the Provider Security Official (PSO) Role in iQIES. ● For detailed information on onboarding, refer to iQIES Onboarding Guide. ● For detailed information about user roles, refer to User Roles Matrix on the iQIES Help page. ● A red asterisk …

PBJ Technical Information Call Minutes with Q&As- February 26, 2026

DNS / NAC / Post-Acute Care News / Survey and Regulatory Compliance / Technology and IT

CMS hosted an PBJ Technical informational Call for Software Vendors and Developers on Thursday, February 26, 2026. Please see the attached minutes. Downloads PBJ Tech Call Minutes 02/26/2026 https://qtso.cms.gov/news-and-updates/pbj-technical-information-call-minutes-qas-february-26-2026