Question: Can Z codes be used as the admitting diagnosis on the claim? Answer from Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC: Admission Diagnosis codes (Field Locator 69 on the claim) should be the code that is the reason the resident is being admitted to the facility, versus a lower …
Question: A long-term care resident has a Quarterly assessment due on 6/19 and an Annual assessment due on 6/27. Can I do the Annual assessment early, before the Quarterly deadline? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: Yes, you can absolutely do this. Set the ARD for the …
The Centers for Medicare & Medicaid Services (CMS) released a memo that will have a significant impact on the health inspection star rating and how the long-star antipsychotic measure is calculated, among other changes: Health Inspection Star Rating: Long-Stay Antipsychotic Measure Methodology: Other changes: For more details, see the memo: …
Navigating Medicare Part A coverage in skilled nursing facilities (SNFs) is a matter of regulatory compliance. But it’s also a daily ethical test for facility staff and administrators. In many ways it depends on the honor system, and those responsible for billing and care case management must understand and apply …
Release of CMS-2567: Statement of Deficiencies and Plan of Correction Memo # QSO-25-19-All Fiscal Year 2025 Memorandum Summary • CMS is committed to the transparency of quality of care findings, so that patients, residents, and their families can make informed health care decisions. • The official Form CMS-2567: Statement of …
Memo # QSO-25-20-NH Posting Date 2025-06-18 Fiscal Year 2025 Memorandum Summary • Post Performance Data for Nursing Home Chains – “Chains” refers to groups of Medicare-certified nursing homes that are connected through common owners, and operators (also called “affiliated entities”). CMS will begin posting aggregated performance information for these nursing homes on …
AHRQ has released an updated Surveys on Patient Safety Culture (SOPS) Nursing Home Survey Version 2.0. This revised survey is designed to help nursing homes assess staff perceptions of resident safety culture in their organizations. The survey was developed using a comprehensive process, including feedback from nursing home staff and technical experts, …
Medical directors at nursing homes are responsible for implementing resident care policies, coordinating medical care, and participating in quality assessment and assurance activities. Nursing homes are required to report hours worked by medical directors to CMS’s Payroll-Based Journal (PBJ). The reported hours have raised concerns about nursing homes’ employment and …
CDC’s Project Firstline and the American Medical Association (AMA) recently hosted a webinar to share important measles updates and help providers and clinics stay prepared for measles. The recording is now available to watch and share. The webinar featured a panel of CDC experts covering current trends in measles epidemiology, clinical recognition of measles, the importance …
In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Lauren Stenson, MSN, RN, CNDLTC, QCP, DNS-CT, curriculum development specialist with AAPACN, discuss how the director of nursing services (DNS) can advocate for resident-centered care by navigating Appendix PP updates, reducing …
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