Expedited Determination Notices: Keys to Avoiding Financial Liability, Survey Issues

The expedited determination beneficiary notification process covers a lot of ground in skilled nursing facilities (SNFs), affecting residents in the fee-for-service (FFS) Medicare Part A program and Medicare Advantage plans, as well as residents who receive Part B rehabilitation therapies under consolidated billing, says Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, …

Anticonvulsants on the MDS: What to Expect in October 2024

The Centers for Medicare & Medicaid Services (CMS) announced on the Dec. 7 Skilling Nursing Facilities/Long-Term Care Open Door Forum that the drug classification of anticonvulsants will be added to the Minimum Data Set (MDS) item set starting Oct. 1, 2024. The new item will be added to N0415, High-risk …

Communication Basics: How Nurse Leaders Can Build a Two-Way Street

A top-down or autocratic management style is becoming increasingly outdated for dealing with today’s healthcare workforce in non-emergent situations. Other leadership styles, such as transformational leadership, often work better to help staff feel valued, supported, and satisfied in their job—and to give them the sense of ownership in creating positive …

Communication: The Key to Improved Dialysis Outcomes

Communication is key to providing residents quality care. This is especially true for dialysis patients who are particularly vulnerable: lack of communication can lead to missed dialysis appointments, medication errors, adverse events, and rehospitalization. This article will provide the director of nursing services (DNS) tips to improve communication with both …

Speak Up! Improve Communication to Bolster the MDS Process

Effective communication is the glue holding the MDS process together, says Stacy Grondel, BSN, RN, RAC-MT, CMAC, QCP. director of reimbursement operations at QRM in Addison, TX. “The nurse assessment coordinator (NAC) who is a strong communicator can develop better working relationships with the interdisciplinary team and executive leadership—and establish …

Keep Quality Measures Hot During the Five-Star Freeze: Extended AAPACN Webinar Q&A  

In this podcast, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN, discuss a few outstanding questions that members asked during the recent AAPACN webinar, Keep Quality Measures Hot During the Five-Star Freeze.

In-House Hospital Readmissions: How to Prevent Upward Trends

The average cost of a hospital readmission is 12.4 percent higher than the average cost of the original hospital admission ($16,300 vs. $14,500), according to a 2023 analysis by the Agency for Healthcare Research and Quality (AHRQ). At the same time, hospital readmissions from skilled nursing facilities (SNFs) remain relatively …

Mentoring, Coaching, and Counseling, Oh My! How They All Fit Into The Disciplinary Process

As the leader of the nursing department, the director of nursing services (DNS) plays an integral role in the disciplinary process. Managing employee performance can be challenging, but it is necessary. Failure to address employees’ negative behaviors and actions can destroy morale among the staff. Knowing when and how to …