Question: A resident admitted after hospitalization is completing therapy but developed an unstageable pressure ulcer during the SNF stay. Can Medicare Part A continue for skilled nursing, even though the condition was not part of the qualifying hospital stay? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: The rule …
From https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/list-federal-regulations/cms-1843-p DRAFT SNF QRP New and Modified Items with a Proposed Effective Date of October 1, 2031: FY27_Proposed_Rule_SNF_All_Payer_draft_mockups_MDS__508.pdf (PDF) From https://www.cms.gov/medicare/quality/snf-quality-reporting-program/measures-and-technical-information Draft MDS re: proposed removal of MDS item O0350 on Oct. 1, 2027: CMS-10387 from https://www.cms.gov/regulations-and-guidance/legislation/paperworkreductionactof1995/pra-listing-items/cms-10387
Listen to this article Your browser does not support the audio element. As the clinical leader of the largest operational department in a skilled nursing facility, the director of nursing services (DNS), in tandem with the administrator, plays a key role in financial oversight. Ancillary charges are rooted in nursing-driven …
The director of nursing services should review ancillary billing monthly to ensure that all billed services and supplies are clinically appropriate, documented accurately, and supported by skilled nursing care. The DNS can use this Ancillary Billing Review Checklist to help confirm compliance with Medicare Part A and Part B rules, …
Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027 Filed on: 04/02/2026 at 5:15 pm Scheduled Pub. Date: 04/07/2026 PDF 114 Pages (397 KB) Permalink Fact sheet Fiscal Year (FY) 2027 Skilled Nursing Facility Prospective Payment System Proposed …
Listen to this article Your browser does not support the audio element. Seasonal celebrations often remind us how quickly small choices can add up. A little handful of candy or a few fruit jelly slices may seem insignificant, but piece by piece they do make an impact. In healthcare documentation …
The HCP Flu Vaccination Module, which is part of the HCP component in NHSN, is used to input required NHSN data for the SNF QRP. This site provides access to the HCP Vaccination Module: Influenza Vaccination Summary Protocol, which is the primary manual for the module. In addition, it provides …
The Centers for Medicare & Medicaid Services (CMS) has released the updated Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131. The notice had expired in January 2026, but CMS instructed facilities to continue issuing the expired notice until the new notice is available. The updated ABN is effective now and …
The Centers for Medicare & Medicaid Services (CMS), on behalf of the U.S. Department of Health and Human Services (HHS), is making our shareholders aware of the “Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures (CMS-0053-F)” Final Rule that displayed today, March 20, 2026, and will …
The Office of Management and Budget (OMB) has approved the control number for the Advance Beneficiary Notice of Non-coverage (ABN) (CMS-R-131). CMS is notifying the industry through our website, and the Medicare Learning Network and has posted the updated version of the ABN below. The updated ABN is effective now …
