How to Prepare for FY 2025 ICD-10 Updates – Sept. 12, 2024

Members: $25 |  Non-members: $50Continuing Education: 1.5 CE hours Recording Date: Sept. 12, 2024Duration: 90 minutesSpeaker: Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC Now is the time to prepare for the FY 2025 ICD-10-CM coding updates, which go into effect on Oct. 1, 2024. HIPAA requires that the facility’s clinical team ensure accurate diagnoses …

Staff Work Schedules: It’s Time to Get Flexible—and Realistic—to Improve Retention

Flexible scheduling, which allows staff members to opt for shorter shifts, longer shifts, add-on shifts, and other staffing flexibilities, can be a strong tool for both recruitment and retention in long-term care, says Jasmine Travers, PhD, MHS, RN, AGPCNP-BC, assistant professor at the New York University Rory Meyers College of …

Staff Performance: When Expectations Don’t Match Reality

To implement the minimum nurse staffing standards for registered nurses (RNs) and nurse aides (NAs) and the increased on-site RN requirement in the Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting final rule starting as early as May 2026 on some requirements for urban …

Substance Use Disorders: What the DNS Should Know

Over 1 million people aged 65 and over live with substance use disorders (SUD) (Alliance for Aging Research, 2022). As with most trends, what is prevalent in the community will also be prevalent in nursing homes. Therefore, the director of nursing services (DNS) should understand the nuances of this disorder …

Preferences and Routines: Use Section F to Collaborate on the Care Plan

The Resident Assessment Instrument (RAI) process begins with the Minimum Data Set (MDS) assessment and ends with the resident-centered comprehensive care plan. In the MDS, section F focuses on the resident’s preferences for customary routines and activities, asking scripted questions about how the person rates the importance of these items. …

Skilled Observation and Assessment Hinges on a Reasonable Probability of Complication

Direct skilled services under Medicare Part A often are easy to identify because these services involve specific, complex caregiver-to-resident actions. Their “inherent complexity” means that they can “be performed safely and/or effectively only by or under the general supervision of skilled nursing or skilled rehabilitation personnel,” explains the Centers for …

Template for Care Area Assessment Summary Note

AAPACN’s Template for Care Area Assessment (CAA) Summary Note can help guide the interdisciplinary team members through how to determine and document rationale for the care plan determination by summarizing the underlying causes, contributing factors, risk factors, and other relevant considerations related to the assessment. This AAPACN resource is copyright …

CMS Patient Mood Interview (Patient Health Questionnaire PHQ-2 to 9) Video Tutorial

The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial for completing D0150, Patient Mood Interview (PHQ-2 to 9) and D0160, Total Severity Score. This video depicts two scenarios that demonstrate the coding of the PHQ-2 to 9 for the purposes of completing D0150, Patient Mood Interview (PHQ-2 to …

Care Plan Management and Evaluation Can Be a Skilled Service for At-Risk Residents

The development, management, and evaluation of the resident care plan is the OBRA backbone of the Resident Assessment Instrument (RAI) process for all residents regardless of payer source, so it may surprise some nurse assessment coordinators (NACs) and directors of nursing (DNSs) to learn that care plan management and evaluation …