SNF PPS MedPAC Payment Basics Fact Sheet / Educational Tool
Updated November 2025 Skilled nursing facility services payment system Additional payment basics here: https://www.medpac.gov/document-type/payment-basic/
OIG: Nursing Facility Industry Segment-Specific Compliance Program Guidance
From https://oig.hhs.gov/compliance/nursing-facility-icpg/ The Nursing Facility ICPG—together with OIG’s General Compliance Program Guidance (GCPG) that applies to all individuals and entities involved in the health care industry—serves as OIG’s updated and centralized source of voluntary compliance program guidance for nursing facilities. Nursing facilities can use the ICPG to help identify their own risks and …
SNF ABN Update: What Changed and How to Keep the Process Running Smoothly
Effective Oct. 31, 2024, skilled nursing facilities (SNFs) now are required to use an updated Skilled Nursing Facility Advance Beneficiary Notice of Noncoverage (SNF ABN), also known as form CMS-10055, and the corresponding revised instructions to provide financial liability notifications to residents under fee-for-service (FFS) Medicare Part A. Note: The …
Beneficiary Notice Guidelines Tool
Are you confused about which beneficiary notices are needed and when? The Beneficiary Notice Guidelines tool lists scenarios that you might run into, clarifying exactly what notices are needed to reduce the risk of claim denials and ensure proper payment. This tool is now updated with the 2024 changes to the Skilled …
SNF QRP Quick Facts Tools
The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) has developed a variety of measures that use data from the MDS 3.0, Medicare Fee-for-Service Claims, and Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). The AAPACN SNF QRP Quick Fact tools provide key information about many …
Updated Fiscal Years 2026 and 2027 SNF VBP Performance Standards
This communication pertains to the Fiscal Year (FY) 2026 and FY 2027 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program performance standards for the Total Nursing Staff Turnover (Nursing Staff Turnover) measure which the Centers for Medicare & Medicaid Services (CMS) published in the FY 2024 SNF Prospective Payment System (PPS) …
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, …
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 …
Revised SNF ABN (Form CMS-10055) Mandatory Oct. 31, 2024
With the help of contractors, CMS revised the SNF ABN, Form CMS-10055, and the form instructions. The SNF ABN form and instructions are located in the download section and are available for immediate use, but will be mandatory for use on 10/31/2024. Skilled Nursing Facilities (SNFs) must issue a notice …
Documentation and Monitoring for a Skilled Stay
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss documentation and monitoring for a skilled stay. Additional Resources:
Podcast: Play in new window | Download (Duration: 18:39 — 11.7MB) | Embed