SNF VBP Early Look Performance Score Report Webinar and Materials

Overview of the Early Look Performance Score Report for the SNF VBP Program The Centers for Medicare & Medicaid Services (CMS) developed and published the Overview of the Early Look Performance Score Report for the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program webinar materials, including the slides, recording, transcript, and answers …

Common Myths about SNF Medicare Advantage Plan Management

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-MT, RAC-MTA, president and CEO of Celtic Consulting, and AAPACN board member, dispel some common myths and concerns related to Medicare Advantage plan management in skilled nursing …

NAC Preparation Guide for the Triple Check Meeting Tool

Gathering all of the necessary reports for the triple check meeting is a lot for nurse assessment coordinators (NACs) to keep track of. AAPACN’s NAC Preparation Guide for the Triple Check Meeting tool can help keep the NAC organized and ensure all requirements of Medicare billing are in place prior …

PPS Discharge Assessment: Why Is It More Important Than Ever?

Nurse assessment coordinators (NACs) will soon begin preparing the interdisciplinary team for the finalized MDS 3.0 version 1.19.1 item set changes, as well as the revised coding instructions in the yet-to-be-finalized Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual v1.19.1 (RAI User’s Manual), that will go into effect on …

Minimum Staffing Standards Rule: Correction

Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting; Correction     SUMMARY: This document corrects typographical and technical errors in the final rule that appeared in the May 10, 2024 Federal Register, entitled “Medicare and Medicaid Programs; Minimum Staffing Standards for …

A Closer Look at the Medicare Part A Presumption of Coverage

Skilled nursing facility (SNF) staff must understand the intricate guidelines that regulate Medicare Part A coverage for SNF stays. Several technical requirements must be met before a resident qualifies for a Medicare Part A SNF stay. For example, the resident must have benefit days available, meet the 3-day qualifying hospital …

Part A Basics: 30-Day Transfers and the Medical Appropriateness Exception

The 30-day transfer rule and its medical appropriateness exception typically don’t come up on a daily basis in skilled nursing facilities (SNFs), yet these requirements—and flexibilities—are a key component of the fee-for-service Medicare Part A rules for SNF coverage in chapter 8, “Coverage of Extended-Care (SNF) Services Under Hospital Insurance,” …