Leave of Absence versus Interrupted Stay: The Effect of EHR Census Decisions

Listen to this article Your browser does not support the audio element. Skilled nursing facilities (SNFs) frequently manage residents who temporarily leave the building or experience a break in Medicare Part A coverage. On the UB-04, these situations may look the same, often reflected as gaps in covered days or …

ICD-10-CM Coding Spotlight Series – Part 4: Slips, Trips, and Fragile Bones: Why Not All Fractures Are Created Equal

Listen to this article Your browser does not support the audio element. As winter gives way to spring, many are relieved to leave behind icy sidewalks and the inevitable steady number of fall-related injuries that come with them. Yet in long-term care, fractures do not simply disappear with the snow; …

CMS Maps Out Four Years of Big Changes and Forecasts Even More

Listen to this article Your browser does not support the audio element. In the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2027, officially published on April 7, 2026, the Centers for Medicare & Medicaid Services (CMS) proposes some earth-shaking …

Sustainable DNS Leadership: How to Lead Without Losing Yourself

Listen to this article Your browser does not support the audio element. The role of leadership can’t be turned on and off at the end of a shift. For the director of nursing services (DNS), the work can feel continuous, intense, and deeply personal. Regulatory pressure, staffing challenges, resident acuity, …

Incentive Spirometry: A Win-Win for Residents, Nursing Teams, and PDPM Accuracy

Listen to this article Your browser does not support the audio element. Article contributed by AAPACN Solution Provider Limitlessli By Mary-Beth Newell, RN, BSN, MS, SVP of Clinical Reimbursement at Limitlessli In skilled nursing facilities, the most effective clinical interventions are not always the most complex. Often, they are the …

Ancillary Billing Review: Why the DNS Must Lead the Financial-Clinical Conversation

Listen to this article Your browser does not support the audio element. As the clinical leader of the largest operational department in a skilled nursing facility, the director of nursing services (DNS), in tandem with the administrator, plays a key role in financial oversight. Ancillary charges are rooted in nursing-driven …

Three iQIES Reports That the NAC Should Review Regularly for the SNF QRP

Listen to this article Your browser does not support the audio element. Under the Skilled Nursing Facility Quality Reporting Program (SNF QRP), SNFs must meet an annual 90 percent MDS submission threshold to help avoid a 2 percent cut in their annual payment update (APU) in the applicable fiscal year …

ICD-10-CM Coding Spotlight Series – Part 3: Sweet Details Matter: Navigating Diabetes ICD-10-CM Coding

Listen to this article Your browser does not support the audio element. Seasonal celebrations often remind us how quickly small choices can add up. A little handful of candy or a few fruit jelly slices may seem insignificant, but piece by piece they do make an impact. In healthcare documentation …

Keys to Coding IV Fluids on the MDS for Hydration Clinics and Beyond

Listen to this article Your browser does not support the audio element. Once uncommon outside of hospitals and outpatient surgery centers, intravenous (IV) hydration has gone mainstream. Average Americans often seek IV hydration through hydration wellness spas and mobile IV clinics to achieve a variety of wellness goals, says Maureen …

Quality Measure IQ Series: Ability to Walk Independently Worsened

Listen to this article Your browser does not support the audio element. When a long-stay resident loses the ability to walk independently, it is rarely just a functional decline. It is often the early signal of a deeper issue: an untreated condition, an environmental barrier, a missed therapy opportunity, or …