The RAI User’s Manual states that “A previous fall, especially a recent fall, recurrent falls, and falls with significant injury are the most important predictors of risk for future falls and injurious falls” (CMS, 2019, p. J-27). However, there are many more items that must be considered when assessing a …
The purpose of this Change Request (CR) is to update the annual per beneficiary incurred expenses amounts now called the KX modifier thresholds and related policy for calendar year 2023. These amounts were previously associated with the financial limitation amounts that were more commonly referred to as “therapy caps,” before …
By Liz Barlow, RN, CRRN, RAC-CT, DNS-CT, AVP Clinical Innovation, Synchrony Rehab At the end of August, the Centers for Medicare & Medicaid Services (CMS) held a National Provider Stakeholder call to review some of the recent COVID updates. CMS commented that data collected, along with nursing home surveys, are …
In nursing facilities, one of the primary regulatory requirements from Appendix PP of the State Operations Manual is that goods and services are provided to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident (§483.24 Quality of Life). One intervention frequently used is Medicare Part …
I. SUMMARY OF CHANGES: This Change Request (CR) updates the list of codes that sometimes or always describe therapy services. The additions, changes, and deletions to the therapy code list reflect those made in the Calendar Year (CY) 2021 Current Procedural Terminology (CPT) and Level II Healthcare Common Procedure Coding …
In the COVID-19 pandemic, some states now are seeing a decrease in cases, while others have continued growth, especially in rural and suburban areas. Much of the COVID-19 response is becoming localized to meet these varying caseloads, but one consistent factor nationwide for nursing homes is the continuing need for …
In this podcast, AANAC curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, discusses the differences between section G and GG and how nursing and therapy must collaborate for success under PDPM.
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