On Oct. 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the draft MDS version 1.20.1 item sets and item matrix for implementation on Oct. 1, 2025. The change history included with the item sets indicates planned changes to sections A (Identification Information), B (Hearing, Speech, and Vision), …
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, senior curriculum development specialist with AAPACN, discuss what to expect this January when Five-Star unfreezes several quality measures.
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FFS & MA NOMNC/DENC What’s New 11/18/2024: New NOMNC and DENC for Original Medicare and Medicare Advantage The Office of Management and Budget (OMB) has approved a revised Notice of Medicare Non-Coverage (NOMNC / CMS-10123) and Detailed Explanation of Non-Coverage (DENC / CMS-10124). Please note the updated NOMNC and DENC …
Improving Care Through Increased Staffing Nursing home staffing has a significant impact on the quality of care that residents receive. Feedback from both nursing home staff and residents consistently highlights staffing as their primary concern. In response, the Centers for Medicare & Medicaid Services (CMS) is launching a national Nursing …
The career path of a director of nursing services (DNS) is both challenging and rewarding. Long-term care nurses who choose to take on the DNS role can have success with the right resources. Part one of this blog series will focus on tips for the new DNS and how to …
Members: $25 | Non-members: $50Continuing Education: 1.25 CE hoursRecording Date: Feb. 13, 2025Duration: 75 minutesSpeakers: Jessie McGill, RN, BSN, RAC- MT, RAC-MTA and Denise Winzeler, RN, BSN, LNHA, DNS-MT, QCP-MT Are your Quality Measures (QMs) still struggling to fit into your facility’s quality of care clothes? Are they out of shape, flabby, or reflect …
Nurse assessment coordinators (NACs) who manage Medicare services typically are at least familiar enough with the beneficiary notice requirements that skilled nursing facilities (SNFs) must meet under fee-for-service (FFS) Medicare Part A to monitor those processes. “However, NACs may not always be as aware that facilities also have a responsibility …
Accurate diagnosis coding is critical in nursing facilities (NFs) for care planning, reimbursement, and quality measurement. NF coders must understand ICD-10-CM conventions, general coding guidelines, and chapter-specific coding guidelines that affect how diagnoses are assigned. Coding guidance can be found in the ICD-10-CM Official Guidelines for Coding and Reporting for FY …
Question: A resident came to our facility for a short stay with a Stage 4 pressure ulcer. The resident has since exhausted his 100 days of Medicare, became a long-term resident, and still has the Stage 4 pressure ulcer. Will this resident trigger the long-stay pressure ulcer measure? Answer from Jessie …
Question: When a resident received IV fluids (K0520A) for hydration, but did not have any calories from the fluids, do we code K0710A (Proportion of total calories the resident received through parenteral or tube feeding) as 1. 25% or less? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: Correct, …
