Major Changes on Falls with Major Injury QMs

Listen to this article Your browser does not support the audio element. The Oct. 1, 2025, update to the definitions of “fall” and “major injury” in the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual (RAI User’s Manual) has left many nurse assessment coordinators (NACs) with questions about what …

Navigating Resident/Representative Notifications About Care Plan and Condition Changes

Listen to this article Your browser does not support the audio element. Mandates to notify or inform the resident and/or their representative about an array of clinical and service issues are woven throughout the resident rights F-tags and other surveyor guidance in Appendix PP, “Guidance to Surveyors for Long-Term Care …

Five-Star and Care Compare MDS 3.0 Quality Measure Data Periods

Care Compare refreshes MDS 3.0 Quality Measure (QM) data quarterly in January, April, July, and October with the most recent four full quarters of data. AAPACN’s Five-Star and Care Compare MDS 3.0 Quality Measure Data Periods tools identify exactly which quarters will be publicly reported and used in Five-Star with each Care …

iQIES MDS Error Message Reference Guide and Message List v1.1

This user guide addresses Minimum Data Set (MDS) error messages and troubleshooting. iQIES MDS Error Message Reference Guide v1.1 (posted 12/29/2025) iQIES MDS Error Messages v1.1 (posted 12/29/2025) From https://qtso.cms.gov/providers/nursing-home-mdsswing-bed-providers/reference-manuals

SNF QRP/SNF VBP: CMS Video Offers MDS Data Validation Process Overview

The Centers for Medicare & Medicaid Services (CMS) is offering a recorded presentation which describes the new data validation process. This training will support facilities in understanding the purpose and structure of the data validation process including the notification and submission process, required activities for selected SNFs, and where to …

 AHRQ Toolkit for Improving Skin Care and MDRO Prevention in LTC Includes Tabletop Game

From AHRQ: A new tabletop game turns infection prevention training into a collaborative, story-driven escape room. When players notice a change in a resident’s skin, they work together to interact with environmental services staff, a physician, an infection preventionist, and a resident while revisiting core topics such as skin assessment, …

PBJ fatal edit -4019: Errata V4.00.2/ PBJ Data Submission Specifications

PBJ updated the fatal edit -4019 in data specification versions 2.00.0, 2.00.3, and 4.00.0. Previously, optional hire and termination dates could not exceed December 31, 2025. This restriction has been extended to December 31, 2050.  Additional information and examples can be found on the QTSO Payroll Based Journal (PBJ) Vendors …

Consolidated Billing HCPCS Code List Update: 2026 Part A MAC Update

ADD – EFFECTIVE 01/01/2026 Major Category I. B. – Cardiac Catheterization Major Category III. A. – Chemotherapy Major Category III. C. -Radioisotopes and their Administration TERMINATE – EFFECTIVE 01/01/2026 Major Category III. A. – Chemotherapy Major Category III. D. – Customized Prosthetic Devices Downloads From https://www.cms.gov/medicare/coding-billing/skilled-nursing-facility-snf-consolidated-billing/2026-part-mac-update

FY 2026 ICD-10-CM Code Updates Effective April 1, 2026

These files include updates for FY 2026. Use these codes for discharges occurring from April 1, 2026 – September 30, 2026, and for patient encounters occurring from April 1, 2026– September 30, 2026.  https://www.cms.gov/medicare/coding-billing/icd-10-codes

Physician Certification Tracker

The AAPACN Physician Certification Tracker tool helps nurse assessment coordinators track physician certification due dates by calculating required timeframes based on user-entered data and displaying upcoming and overdue certifications to support compliance. The accuracy of the tool depends on the accuracy of the information entered, so timely and precise data …