Question: When a resident is discharged to the hospital and admitted with a diagnosis of UTI. Does the UTI get coded on the discharge return anticipated MDS? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: If the diagnosis of UTI did not occur until the resident was at the …
Question: How do I code the “Will [care area] be addressed in the care plan” question when a resident discharges return not anticipated before the care plan is complete? Answer from Jennifer LaBay RN, RAC-MT, RAC-MTA, QCP, CRC: Federally, if the care plan was not completed because the resident …
The Advanced Beneficiary Notice of Noncoverage (ABN), form CMS-R-131, is used by nursing facilities when Medicare Part B services are ending and the resident does not agree with the decision. The current form, posted on the FFS ABN webpage, expires on Jan. 31, 2026, but an updated form has not …
On Jan. 12, 2026, the first wave of Skilled Nursing Facility Quality Reporting Program (SNF QRP) validation audits notifications arrived in the iQIES MDS 3.0 Provider Preview Reports folder for some facilities. While 1,500 randomly selected facilities will receive this audit, not all were included in this first wave. For …
January 2026 Updates General Resources Analysis and Report Resources From https://www.cdc.gov/nhsn/ltc/covid19/rpv-resources.html
Impact of Combined Assessments on SNF APU: How Medicare 5-Day and PPS Discharge Combined Assessments Affect Your Facility’s APU Calculation The Centers for Medicare & Medicaid Services (CMS) has released a one-page resource for SNF providers that illustrates how Medicare 5-Day and PPS Discharge combined assessments can impact the APU …
Multidrug-Resistant Organism & Clostridioides difficile (MDRO/CDI) Infection Event Reporting Module Using Laboratory-identified Event Methodology January 2026 updates Data Collection Forms & Instructions All Data Collection Forms are Print-only MDRO/CDI Events See more at https://www.cdc.gov/nhsn/ltc/cdiff-mrsa/index.html
Surveyors use critical element pathways (CEPs) to work through the steps of their investigation and to determine compliance with several federal regulations. In addition to CEPs, other tools including observational guides are also used to direct the surveyors’ review of the facility. These same tools are available for facility leaders …
Infection Prevention Learning Journey Description The Infection Prevention Learning Journey introduces learners to concepts found in the Hierarchy of Controls that will enhance infection prevention and control knowledge and skills. Learning modules in the course will cover three levels of the Hierarchy of Controls: engineering, administrative, and personal protective equipment …
Key report excerpts re: SNFs: Within the Traditional Medicare program, reducing improper payments remains a challenge. The improper payment rate reported in FY 2024, 7.66 percent, has not decreased from the rates reported in FYs 2022 or 2023. The four categories with the largest dollars in improper payments in FY 2024 …
