TIP: AHRQ Seeks Nursing Homes to Participate in Pilot Study for Workplace Safety

The Agency for Healthcare Research and Quality (AHRQ) is developing a survey item set to assist nursing homes to identify and improve workplace safety. They are currently seeking nursing homes to participate in the pilot study of the Workplace Supplemental Item Set.  If selected, participating nursing homes will receive: Free …

TIP: CMS Releases Updated PBJ Manual

The Centers for Medicare & Medicaid Services (CMS) released the updated Version 2.6 Electronic Staffing Data Submission Payroll-Based Journal (PBJ) Long-Term Care Facility Policy Manual in June 2022. The update reinforces CMS’s message to validate submissions in the Certification and Survey Provider Enhanced Reporting System (CASPER). CMS notes, “Facilities should …

TIP: The U.S. Surgeon General Releases New Advisory on How to Combat Healthcare Worker Burnout

Surgeon General, Vivek Murthy, has released a new advisory on how to address healthcare worker burnout in nursing homes. This includes assistance from providers, government, academic institutions, technology, friends and families, and the workers themselves. There are six specific actions to address burnout included in the address: Protect the health, …

TIP: IV Fluids Given for Nutrition or Hydration in the Hospital Affect Special Care High

When considering assessment reference date selection, do not forget that IV fluids given in the hospital within the 7-day look-back period “while not a resident” may impact the Special Care High nursing category. Unlike the NTA component, which only captures IV fluids “while a resident” and requires more specific caloric …

TIP: NETEC Presents Staff Resiliency in Long Term Care Podcast

Facility leaders can listen to a new free podcast from the National Emerging Special Pathogens Training and Education Center (NETEC) regarding staff resiliency in long-term care. Dr. Vanessa Raabe, MD discusses areas such as how staff burnout affects long-term care organizations and what organizations can do to boost resiliency personally …

TIP: Don’t Use ICD-10-CM Code as Primary with “Disease Classified Elsewhere” or “Code First” Instructions

When determining the primary diagnosis for a resident, the coder must consider the guidance set forth in the ICD-10-CM Official Guidelines for Coding and Reporting for each fiscal year. One area that may cause confusion is when you have a code for an infection and a code that identifies the …

TIP: CMS Asking for Comments on New SNF PPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year 2023 Skilled Nursing Facility Prospective Payment System (SNF PPS) Proposed Rule earlier this month. CMS notes that this proposed rule would update “Payment rates; forecast error adjustment; diagnosis code mappings; the Patient Driven Payment Model (PDPM) parity adjustment, …

TIP: SNF Provider Reports Now Available

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the July 2022 release. The Preview Reports are based on quality assessment data submitted by SNFs from Quarter 4, 2020 through …