The PBJ system has been updated to accept optional hire and termination dates up to 12/31/2050. CMS helpdesk is starting to get tickets regarding this update, so we are following up with clarifications. Please ensure that your systems are updated so that your submissions are not impacted. The full memo is …
The Centers for Medicare & Medicaid Services (CMS) is offering a recorded presentation that describes the new data validation process. This training will support skilled nursing facilities (SNFs) in understanding the purpose and structure of the data validation process including the notification and submission process, required activities for selected SNFs, …
The Monthly DNS/Medical Director Meeting Template is a practical tool designed to support structured, action-oriented collaboration between the director of nursing services (DNS) and the medical director. This template helps guide focused monthly discussions by prompting review of prior action items, quality metrics and trends, high-risk resident concerns, medication and …
Listen to this article Your browser does not support the audio element. One of your nurses struggles with timely, accurate documentation, but you dread talking with her about the situation. She is a valuable team member who shows up promptly and also willingly picks up overtime, but the documentation issues …
Listen to this article Your browser does not support the audio element. In today’s skilled nursing facility (SNF) landscape, the director of nursing services (DNS) is critical not only in overseeing resident care but also in supporting the organization’s financial stability and regulatory compliance. Both goals require a strong understanding …
In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss falls with major injury and a sneak peek into McGill’s breakout session at the AAPACN 2026 …
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Question: Is a Significant Change in Status Assessment (SCSA) required for a new pressure ulcer? Answer from Jennifer LaBay RN, RAC-MT, RAC-MTA, QCP, CRC: A Significant Change in Status Assessment is required if there are two or more areas of decline or improvement that will not resolve on its own …
Question: When a resident changes payers from Medicare Advantage to Traditional Medicare, are the Medicare Advantage days subtracted from the Medicare 100-day benefit period? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: Yes, days billed under Medicare Advantage are subtracted from the resident’s 100-day benefit period. This AAPACN resource …
Question: If a Discharge – return not anticipated was completed for a resident discharge against medical advice (AMA), and he returned less than 30 days later, is a new OBRA Admission assessment required? Answer from Jessie McGill RN, BSN, RAC-MTA, RAC-CTA: When the OBRA discharge is named “Return not anticipated” …
Consolidated billing specifies that the SNF is the responsible party for the billing of the entire package of care the resident receives during a covered Part A SNF stay, as well as identifies a limited number of services specifically excluded from consolidated billing, and therefore, separately payable. The Centers for …
