I0020B: Avoid Common Sources of Confusion When Coding This MDS Item

The ICD-10-CM code captured in MDS item I0020B (ICD-10 Code/Primary Medical Condition Category) is the foundation of case-mix classification for the Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) payment components in the Patient-Driven Payment Model (PDPM) under the fee-for-service Medicare Part A skilled nursing facility prospective payment …

Updates to ICD-10-CM Coding Guidelines: Key Revisions and Their Implications

The International Classification of Diseases, Clinical Modification, 10th revision (ICD-10-CM), coding system is an essential tool needed to document and bill accurately for healthcare services in the long-term care (LTC) setting. Annual updates to both the coding guidelines and the actual codes reflect updated clinical practices, advancements in medical understanding, …

Small Updates, Big Impact: October 2024 RAI Manual Changes – Sept. 19, 2024

Members: $25 |  Non-members: $50Continuing Education: 1.25 CE hours Recording Date: Sept. 19, 2024Duration: 75 minutesSpeaker: Jessie McGill, RN, BSN, RAC-MT, RAC-MTA Every October, nurse assessment coordinators (NACs) nervously anticipate what Resident Assessment Instrument (RAI) User’s Manual changes will impact their primary duties and workflows. Some years bring massive changes, which result in policy …

Discharge Planning for Licensed Staff In-Service Education

Discharge planning is an important and necessary process to ensure residents have all the resources, equipment, and support they need for success when they return home. This in-service education will enable licensed nurses to understand the components of the discharge process and develop a solid discharge plan, helping residents to make …

Infection Control Issues and Career Advancement of the Infection Preventionist

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Dr. Devin Jopp, EdD, chief executive officer for the Association for Professionals in Infection Control and Epidemiology (APIC), discuss the role of the infection preventionist in long-term care and how this respiratory season …

Nursing Orientation and Onboarding Done Right Can Boost Retention

Working as a nurse in a nursing home can be overwhelming, especially if the director of nursing services (DNS) and executive leadership expect nurses to learn on the job and fail to set up a comprehensive program that includes adequate orientation (short-term training and support) and onboarding (longer-term training and …

F677: How to De-Risk ADL Care for Dependent Residents

Providing residents with the appropriate level of assistance in the activities of daily living (ADLs) is foundational to care in nursing homes, yet the ADLs consistently remain a common citation risk in the survey process. From 2021 to summer 2024, F677 (ADL Care Provided for Dependent Residents) is the eighth most-cited F-tag …

Skilled Teaching and Training: Benefit From the Care Team’s Expertise

Like care plan management and evaluation and observation and assessment of a resident’s condition, teaching and training activities are a core nonskilled component of resident care that can rise to the level of a skilled service. Another way that these indirect skilled services are alike is that they historically haven’t …