Post-Acute Care News
The Post-Acute Care News page is where you’ll find the latest alerts and information from the post-acute care field, including notices from CMS, the CDC, and other post-acute care stakeholders. Then find deeper analyses from AAPACN’s team of nurse experts in articles, webinars, and podcasts.
- Appendix B State RAI Coordinator Contact List UpdatedThe November update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. To ensure accurate formatting, use a …
- Errata V3.01.4 for MDS Data Specifications V3.01.1 (FINAL), FY2024 ICD-10 Codes for Item I0020B, CAT Specifications V1.06.0 Test Files, and OSA Data Specifications V3.01.0 (FINAL)Errata V3.01.4 for MDS Data Specifications V3.01.1 (FINAL) is now available for download. Six issues were added to the errata. As a result, four edits were revised, and there were several mapping changes of items …
- CMS QSO Memo: Guidance for Federal Monitoring Surveys (FMS)Memo # Admin Info: 24-05-NH Posting Date 2023-11-20 Fiscal Year 2024 Memorandum Summary • Guidance and Focus Concerns – Identifies the FY2024 and FY2025 Focus Concerns and guidance on how CMS Location staff will conduct …
- MLN Network Provider Minute Video: The Importance of Proper DocumentationThis video will help providers and physicians understand the need and importance of medical record documentation to support the services billed. Watch this video to learn more about what the CERT program has identified as …
- OIG Will Audit PBJ Nurse Staffing HoursAudit of Nursing Homes’ Nurse Staffing Hours Reported in CMS’s Payroll-Based Journal Nursing homes are required to electronically submit complete and accurate direct care staffing information to CMS’s Payroll-Based Journal (PBJ) system on a quarterly …
- CMS Final Rule: SNF/NF Facility Ownership and Other Disclosure RequirementsCenters for Medicare & Medicaid Services Rules Medicare and Medicaid Programs: Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies …
- Trends in Ownership Structures of U.S. Nursing Homes and the Relationship with Facility Traits and Quality of CareKey points: Read the full report: https://aspe.hhs.gov/reports/nh-ownership-its-implications-quality-availability-care
- PDPM Grouper UpdateThe “PDPM Grouper JAR Package V2.2001.zip” is now available. This V2.2001 release is an update to adjust the OBRA logic for target dates on or after October 1, 2023. The logic for standalone OBRA assessments will …
- WHO Therapeutics and COVID-19: Living Guideline UpdatedWHO has updated its guidelines for COVID-19 therapeutics, with revised recommendations for patients with non-severe COVID-19. This is the 13th update to these guidelines. Updated risk rates for hospital admission in patients with non-severe COVID-19 …
- OIG General Compliance Program Guidance (GCPG) UpdatedThe GCPG is a reference guide for the health care compliance community and other health care stakeholders. The GCPG provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other items useful for understanding health …
- 2025 Medicare Advantage Proposed Rule Includes Some SNF-Related ProposalsBiden-Harris Administration Proposes to Protect People with Medicare Advantage and Prescription Drug Coverage from Predatory Marketing, Promote Healthy Competition, and Increase Access to Behavioral Health Care in the Medicare Advantage Program Fact sheet Contract Year …
- CDC NHSN LTCF Weekly Healthcare Personnel (HCP) & Resident Vaccination Module Page UPDATEDWeekly health care personnel (HCP) & Resident COVID-19 Vaccination Weekly COVID-19 Vaccination Data Reporting Long-term care facilities can track weekly COVID-19 vaccination data for residents and healthcare personnel (HCP) through NHSN. November 2023 Updates Resources …
- QTSO Notice: MDS Section G: Functional Status Replaced with Section GG: Functional Abilities and GoalsEffective October 1, 2023, Minimum Data Set (MDS) Section G: Functional Status was replaced with Section GG: Functional Abilities and Goals. This transition significantly impacts the specifications of the following MDS-based Quality Measures (QMs): To address the impact …
- CY 2024 Final Physician Fee Schedule and Other Part B ProposalsNov 02, 2023 https://www.cms.gov/newsroom/press-releases/cms-finalizes-physician-payment-rule-advances-health-equity Final policies will expand behavioral health services, advance the President’s Cancer Moonshot, support family caregivers, and accelerate value-based care The Centers for Medicare & Medicaid Services (CMS) announced it is finalizing policies …
- NIH COVID-19 Treatment Guidelines: Ritonavir-Boosted Nirmatrelvir (Paxlovid) UpdateIn May 2023, the Food and Drug Administration (FDA) approved the use of ritonavir-boosted nirmatrelvir (Paxlovid) for the treatment of certain adults with COVID-19. However, ritonavir-boosted nirmatrelvir was initially only available from Emergency Use Authorization …
- SNF PPS MedPAC Payment Basics Fact Sheet / Educational ToolPAYMENT BASICS: SNF PPS Skilled nursing facility services payment system Additional payment basics tools: https://www.medpac.gov/document-type/payment-basic/
- CMS Nursing Home Data Sets UpdatedThe October 2023 release of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC). The data are based on quality assessment data submitted by SNFs to …
- LTCSP Survey Resources: Surveyor Tools UpdatedThis ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going …
- CISA, HHS Release Collaborative Cybersecurity Healthcare ToolkitWASHINGTON – The Cybersecurity and Infrastructure Security Agency (CISA) and the Department of Health and Human Services (HHS) co-hosted a roundtable discussion on the cybersecurity challenges that the U.S. healthcare and public health (HPH) sector system …
- CDC: Health Workers Report Harassment, Symptoms of Poor Mental Health, and Difficult Working ConditionsMore than double the number of health workers reported harassment at work in 2022 than in 2018. This may include threats, bullying, verbal abuse, or other actions from patients and coworkers that create a hostile …
- MDS 3.0 RAI Manual: CMS Adds a Second Errata Effective Oct. 1, 2023The PDF file labeled “MDS3.0RAIManualv1.18.11R.Errata.v2.October.20.2023” is now available. The errata document contains revisions to the MDS 3.0 RAI Manual version (v)1.18.11R to provide clarity and additional guidance in Section D and Chapter 6 to support item D0100, …
- UPDATED: Final MDS 3.0 Item Sets version 1.18.11 v6The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 have been updated and are now available. Changes in this version (listed below) align the item sets with the Errata V3.01.3 for MDS Data Specifications …
- CMS Post-Acute Care Health Equity Confidential Feedback Reports, Online Webinar, and Fact SheetAs part of our commitment to advance health equity and strengthen the Medicare Program, the Centers for Medicare & Medicaid Services (CMS) has released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the …
- WHO COVID-19 Infection Prevention and Control Guidelines UpdatedOverview from the World Health Organization The Infection prevention and control in the context of coronavirus disease 2019 (COVID-19): a living guideline consolidates technical guidance developed and published during the COVID-19 pandemic into evidence-informed recommendations for infection prevention …
- 2024 Medicare Parts A & B Premiums and DeductiblesFrom https://www.cms.gov/newsroom/fact-sheets/2024-medicare-parts-b-premiums-and-deductibles On October 12, 2023, the Centers for Medicare & Medicaid Services (CMS) released the 2024 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2024 Medicare …
- CMS Transmittals Update Manuals to Exclude Marriage and Family Therapist and Mental Health Counselor Services From Consolidated BillingTransmittal #R12283CP Issue Date 2023-10-05 Subject Internet Only Manual Updates to Pub. 100-02 and 100-04 to Implement Consolidated Appropriations Act 2023 Changes for Skilled Nursing Facility (SNF) Policy: The Consolidated Appropriations Act, 2023 (Pub. L. …
- CMS Transmittal: PDPM Corrections to Interrupted Stay EditsTransmittal #R12286OTN Issue Date 2023-10-05 Subject Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits Implementation Date 2024-04-01 CR #13360 Publication #100-20 Transmittal Year 2023 Downloads
- CDC: RSV Data for Hospitalized Adults 60 and Older
- CDC: Disparities in COVID-19 Vaccination Status Among LTC Residents — USA, Oct. 31, 2022–May 7, 2023Weekly / October 6, 2023 / 72(40);1095–1098 Summary What is already known about this topic? Long-term care (LTC) facility residents are vulnerable to SARS-CoV-2 infection because of their advanced age, medical complexity, and congregate living situation; …
- CMS iQIES Reports User Manual v2.5: MDS ReportsThis user manual provides information for CMS, Providers, Vendors, Accrediting Organizations, Contractors, and State Agencies to effectively perform Reports functions and the processes necessary to request, view, download, and save reports in iQIES. Appendix A: …
- CMS iQIES Notice of Upcoming SNF QRP Measure Removals The Centers for Medicare & Medicaid Services (CMS) is alerting Skilled Nursing Facility (SNF) providers of upcoming measure removals from the SNF Quality Reporting Program (QRP). The following quality measures are planned for removal from …
- CDC Viral Respiratory Pathogens ToolkitPreparing for and responding to nursing home residents or healthcare personnel (HCP) who develop signs or symptoms of a respiratory viral infection: Find the toolkit at https://www.cdc.gov/longtermcare/prevention/viral-respiratory-toolkit.html
- 2024 SNF Consolidated Billing HCPCS Code Annual Update TransmittalTransmittal #R12266CP Issue Date 2023-09-28 Implementation Date 2024-01-02 CR #13394 Publication #100-04 Transmittal Year 2023 R12266CP
- iQIES Resources Site UpdatediQIES is the Internet Quality Improvement and Evaluation System, which is the system that the MDS submissions system is being transferred to. The QIES Technical Support Office maintains a website with iQIES reference materials, including …
- Five-Star Technical User’s Guide Plus Claims-Based Measures Appendix (Updated)CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Nursing Home Compare Web site features a quality rating system that gives each nursing home …
- CMS QSO Memo: Updates to Nursing Home Care Compare Staffing and Quality MeasuresMemo # QSO-23-21-NH Posting Date 2023-09-20 Fiscal Year 2023 Title Memorandum Summary • Adjustment to Staffing and Quality Measures: CMS will update the staffing level case-mix adjustment methodology and replace some of the Quality Measures …
- MDS 3.0 Quality Measures (QM) User’s Manual V 16.0 Effective Oct. 1, 2023The Minimum Data Set (MDS) 3.0 Quality Measures (QM) User’s Manual V16.0 is now available. The MDS 3.0 QM User’s Manual V16.0 contains detailed specifications for the MDS 3.0 quality measures and includes a Notable …
- FY 2024 ICD-10-CM Codes and Coding Guidelines Effective Oct. 1, 2023: Errata and Updated Files2024 release of ICD-10-CM October 1, 2023 release of ICD-10-CM The FY2024 ICD-10-CM codes are to be used from October 1, 2023 through September 30, 2024. Note: This replaces the FY 2023 – April 1, …
- FY 2024 PDPM ICD-10-CM Mappings File UpdatedFrom https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/patient-driven-model
- AHRQ Effective Healthcare Protocols for Patient Safety Available Now on Multiple TopicsPatient safety research is growing, spanning across more healthcare settings, and considers a wide array of contextual factors. The combination of emerging patient safety threats and the growing amount of published patient safety research, patient …
- SNFRM: Technical Specifications for This SNF VBP Measure2023 Measure Updates and Specifications Report Skilled Nursing Facility Value-Based Purchasing Program Skilled Nursing Facility 30-Day All-Cause Readmission Measure –Version 2.0 This report describes updates that have been made to the Skilled Nursing Facility 30-Day …
- SNF QRP FAQs for FY 2024An update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) document is now available. This document has been updated to reflect the finalized policies for the SNF QRP in …
- FY 2024 SNF VBP Program Fact Sheet, Timeline, and FAQsFY 2024 SNF VBP Resources
- FY 2026 (Calendar Year 2024) SNF QRP APU Table for the MDS Data Submission ThresholdThe FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2026 …
- FY 2025 (Calendar Year 2023) SNF QRP APU Table for the MDS Data Submission Threshold–RevisedThe FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2025 …
- FY 2026 (Calendar 2024) SNF QRP Data Collection and Final Submission Deadlineshe FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2026 …
- FY 2025 (Calendar 2023) SNF QRP Data Collection and Final Submission Deadlines — RevisedThe FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2025 …
- SNF QRP QM Calculations and Reporting User’s Manual V5.0, Change Table, Risk Adjustment and Imputation Appendix Files, and HCC ICD-10 CrosswalksThe Skilled Nursing Facility Quality Reporting Program (SNF QRP) Quality Measure Calculations and Reporting User’s Manual Version 5.0 serves as an update to the specifications used to calculate quality measures that are included in the SNF …
- 2022 Nursing Home Staffing Study Final ReportIn February 2022, the Biden-Harris Administration announced a comprehensive set of reforms aimed at improving quality and safety for residents in nursing homes. One aspect of this initiative was conducting a new Nursing Home Staffing …
- CMS Issues Proposed Rule on Minimum Staffing Standards for NFs and SNFsResources: Press Release: The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), issued a proposed rule that seeks to establish comprehensive staffing requirements for nursing homes—including, …
- Minimum Data Set (MDS) 3.0 Frequency Report WebsiteEffective August 21, 2023, MDS 3.0 Frequency data will be available from a new location on the data.cms.gov website (https://data.cms.gov/quality-of-care/minimum-data-set-frequency). This new website replaces the previous MDS 3.0 Frequency Report webpage which was decommissioned on …
- CMS iQIES MDS FAQsTable of Contents 1. Launch/Help Questions 1.1 Will iQIES have the same spec version at launch as QIES (version 3.00.1 including Errata Version3.00.8)? _____________________________________________ 1.2 How do I register for iQIES? 1.3 Whom can I …
- Optional State Assessment (OSA) Item Set and OSA Manual for Oct. 1, 2023 Implementation–UpdatedThe Optional State Assessment (OSA) Item Set and OSA Manual have been updated, and the updated versions are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. …
- CDC Infection Control Assessment and Response (ICAR) Program Resources UpdatedInfection Control Assessment Tools Acronyms & Definitions ICAR: Infection Control Assessment and Response Program IP: Infection Prevention Healthcare Personnel IP Competency: The proven ability to apply essential knowledge, skills, and abilities to prevent the transmission of pathogens during …
- Recent CMS Transmittals: SNF QRP Reporting Requirements and SNF PPS Pricer UpdateR12182QRI 2023-08-03 Fiscal Year 2018 and After Payments to Skilled Nursing Facilities (SNFs) That Do Not Submit Required Quality Data – This CR Rescinds and Fully Replaces CR 9944. 2023-09-04 13242 R12174CP 2023-08-03 Medicare Part …
- SNF MDS 3.0 RAI v1.18.11 Guidance Training Program: Post-Event Training Videos and Presentation Slide Decks Are UpdatedThe Centers for Medicare & Medicaid Services (CMS) is offering a virtual training program that provides instruction on the updated guidance for the Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Resident Assessment Instrument …
- FY 2024 SNF PPS Final Rule and Correction NoticeThe final rule and key files: Final Rule Permalink Correction Notice: https://www.federalregister.gov/documents/2023/10/04/2023-22050/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities FY 2024 PDPM ICD-1- Mapping (ZIP) (effective 10-01-2023) CMS-1779-F Wage Index Tables for FY 2024 – Final (ZIP) PDPM Case-Mix – Tables 5 and 6 …
- EXPIRED: CMS QSO Memo QSO-23-02-ALL: Revised Guidance for COVID-19 Staff Vaccination RequirementsMemo # QSO-23-02-ALL (EXPIRED) Posting Date 2023-07-25 Fiscal Year 2023 EXPIRATION INFORMATION: CMS PUBLISHED A FINAL RULE WHICH ENDED THE REQUIREMENTS RELATED TO STAFF VACCINATION FOR ALL PROVIDER TYPES, EFFECTIVE ON 8/05/23. ADDITIONALLY, THIS RULE …
- National Pressure Injury Advisory Panel Releases Standardized Pressure Injury Prevention ProtocolThe National Pressure Injury Advisory Panel has released the second version of their Standardized Pressure Injury Prevention Protocol – abbreviated as “SPIPP” (pronounced S – PIP). The SPIPP is a shortened checklist of preventive actions …
- CMS Transmittal: SNF PDPM Claims Processing Edits UpdateR12146OTN Issue Date 2023-07-21 Subject The purpose of this Change Request (CR) is to update current Skilled Nursing Facility (SNF) PDPM claims processing edits in order to process and pay claims correctly. A. Background: This …
- BIMS MDS Coding Video Tutorial UpdatedThe Centers for Medicare & Medicaid Services (CMS) is offering an updated video tutorial to assist providers with guidance application and interview strategies for the cognitive assessment known as the Brief Interview for Mental Status …
- OIG Work Plan: Audit of Nursing Homes’ Emergency Power SystemsRecent severe weather events have highlighted the need for and importance of emergency power systems for nursing homes. Nursing homes are required to provide an alternate source of energy (usually a generator) to maintain temperatures …
- TeamSTEPPS 3.0: Evidence-Based Teamwork Resources for Healthcare TeamsTeamSTEPPS is an evidence-based program designed to optimize the performance of healthcare teams. The Welcome Guides in this section provide an introduction to TeamSTEPPS 3.0 adapted to the needs of various TeamSTEPPS roles, including: …
- SNF Provider Preview Reports – Now AvailableThe Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) …
- OSHA Final Rule on Tracking of Workplace Injuries and IllnessesOccupational Safety and Health Administration 29 CFR Part 1904 [Docket No. OSHA-2021-0006] RIN 1218-AD40 Improve Tracking of Workplace Injuries and Illnesses AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Final rule. SUMMARY: OSHA is …
- Prevalence of Potentially Inappropriate Medication Prescribing in U.S. Nursing Homes, 2013-2017July 5, 2023 Riester MR, Goyal P, Steinman MA, et al. J Gen Intern Med. 2023;38(6):1563-1566. Potentially inappropriate medication (PIM) prescribing in older adults is common and can lead to medication-related harm. This retrospective study of Medicare beneficiaries estimated that the …
- OIG Adverse Events Toolkits: Medical Record Review Methodology and Clinical Guidance for Identifying Patient HarmToolkit: Medical Record Review Methodology07-06-2023 | OEI-06-21-00030 | Complete Toolkit Toolkit: Clinical Guidance for Identifying Harm07-06-2023 | OEI-06-21-00031 | Complete Toolkit What are the Adverse Events (AE) Toolkits? The AE toolkits are technical resources to assist the …
- CMS QSO Memo: Posting of Nursing Home Ownership/Operatorship Affiliation Data on Nursing Home Care Compare and data.cms.govMemo # QSO-23-18-NH Posting Date 2023-06-28 Fiscal Year 2023 Memorandum Summary • Posting Nursing Home Affiliation on Nursing Home Care Compare: CMS will include ownership and operatorship affiliation information on our Nursing Home Care Compare …
- CDC Recommends RSV Vaccine For Older AdultsCDC Director Rochelle P. Walensky, M.D., M.P.H., endorsed the CDC Advisory Committee on Immunization Practices’ (ACIP) recommendations for use of new Respiratory Syncytial Virus (RSV) vaccines from GSK and Pfizer for people ages 60 years …
- Center of Excellence for Behavioral Health in Nursing Facilities Addresses Establishing and Monitoring a Naloxone ProgramIn This Issue This month’s newsletter focuses on establishing and monitoring a Naloxone program for your nursing facility. Become informed about regulatory guidance and share new COE-NF resources that will assist your facility in implementing …
- iQIES Dashboard Q&AsFrom https://qtso.cms.gov/software/iqies/reference-manuals
- NHSN Healthcare Personnel (HCP ) Flu Vaccination Module for SNF QRP ReportingThe HCP Flu Vaccination Module, which is part of the HCP component in NHSN, is used to input required NHSN data for the SNF QRP. This site provides access to the HCP Vaccination Module: Influenza …
- CMS Releases Medicare Advantage Skilled Nursing Facility Utilization DataThe Centers for Medicare & Medicaid Services (CMS) updated two data products with skilled nursing facility utilization data for beneficiaries enrolled in Medicare Advantage (MA). The Medicare Advantage Geographic Variation PUF (MA GV PUF) now …
- CMS QSO Memo Reminds Hospitals of Discharge Requirements for Hospital Discharges to Post-Acute Care ProvidersMemo # QSO-23-16-Hospitals Posting Date 2023-06-06 Fiscal Year 2023 CMS is committed to ensuring that the health and safety of patients are protected when discharges from hospitals and transfers to post-acute care providers occur. Therefore, …
- COVID-19 Healthcare Staff Vaccination Final RuleFrom MLN Connects: CMS finalized staff education requirements while ending the COVID-19 staff vaccination requirements for Long-Term Care Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities. These provisions were included in the “COVID-19 …
- MDS Issues From the iQIES Known Issues ReportCS1963652 Resolved Reports ALL iQIES Users are currently experiencing issues generating reports in HTML or downloading them in CSV/PDF format, presenting no data or limited data to users. Team is investigating and resolving actively 05/31/2023 …
- COVID-19 Vaccination and Therapeutics in PALTC Toolkit: Resources for Clinicians–UpdatedAMDA-The Society for Post-Acute and Long-Term Care Medicine partnered with the American Society of Consultant Pharmacists, the Gerontological Advance Practice Nurses Association, the American Association of Nurse Practitioners, and the American Academy of Physician Assistants/Associates …
- MDS: State Section S Items Effective October 1, 2023 OverviewThe tables list the Section S items that will be active on MDS 3.0 records with a target date on or after October 1, 2023. The active item on each item subset code (ISC) is …
- CMS MDS v1.18.11 Training Videos: Direct LinksDirect links: SNF Training Program Overview SNF Understanding Changes to the MDS 3.0 RAI Manual v1.18.11 Training Webinar SNF Social Determinants of Health and New Data Elements in Section A Training Webinar SNF Section C: …
- MLN Publication: SNF Three-Day Qualifying Hospital Stay and Medicare Billing RulesSkilled Nursing Facility 3-Day Rule Billing Format Fact Sheet ICN: MLN9730256 Publication Description: Learn communication of coverage, claims processing edits, and financial responsibility. https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/snf3dayrule-mln9730256.pdf
- 2023 update to the AGS Beers Criteria for Potentially Inappropriate Medication Use in Older AdultsThe American Geriatrics Society (AGS) released the 2023 update to the AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults (DOI: 10.1111/jgs.18372). The AGS Beers Criteria® serves as a comprehensive list of medications …
- SNF QRP: 2023 Impact of Mississippi Stormshttps://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-QR-Reconsideration-and-Exception-and-Extension
- CMS Transmittal: SNF Consolidated Billing HCPCS Code File Update for July 2023Transmittal # R12052CP Issue Date 2023-05-18 Subject July 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement Implementation Date 2023-07-03 CR # 13192 …
- Updated CASPER MDS Census Reports for Nursing HomesUPDATED Certification and Survey Provider Enhanced Reports (CASPER) Daily Minimum Data Set (MDS) Census Reports for Nursing Homes The 1704D Daily MDS Census Detail and 1704S Daily MDS Census Summary reports in the Payroll-Based Journal …
- CMS Transmittal: SNF 5-Claim Probe and Educate ReviewTransmittal 12032 issued May 10, 2023, is being rescinded and replaced by Transmittal 12037, dated May 15, 2023, to make a minor clarification (that claims will be adjusted/denied if an improper payment is identified) and …
- OIG Work Plan Update: Nursing Home Facility-Initiated DischargesA facility-initiated transfer or discharge of a resident from a nursing home can be an unsafe and traumatic experience for the resident and the resident’s family. To address these concerns, Congress passed the Nursing Home …
- CMS Transmittal Revised: SNF PPS PDPM Claims Processing Updates to Current EditingIssue Date 2023-05-08 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Patient-Driven Payment Model (PDPM) Claims Processing Updates to Current Editing Transmittal 11988 issued April 21, 2023, is being rescinded and replaced by Transmittal 12023, …
- CMS QSO-20-39-NH Memo REVISED: Nursing Home Visitation – COVID-19Nursing Home Visitation – COVID-19 (REVISED to align with the end of the COVID-19 PHE) Memo # QSO-20-39-NH REVISED 05.08.2023 Fiscal Year 2023 Summary • CMS is committed to continuing to take critical steps to …
- CDC COVID-19 Infection Control Guidance Page UpdatedInfection Control Guidance Updated May 8, 2023 For healthcare personnel, see Isolation and work restriction guidance. For strategies to mitigate healthcare personnel staffing shortages, see Contingency and crisis management. For healthcare professionals advising people in non-healthcare settings …
- SNF QRP: Discharge Function Score for SNFs Draft Technical Report: Imputation Appendix FileCMS has posted the Discharge Function Score for Skilled Nursing Facilities (SNFs) Draft Technical Report: Imputation Appendix File, which accompanies the Discharge Function Score for Skilled Nursing Facilities (SNFs) Draft Technical Report. The Imputation Appendix …
- OIG Inspector General Continues to Prioritize Nursing HomesKey excerpt: Nursing Homes We know that compliance helps an organization remain focused on providing high-quality care. OIG work has pinpointed breakdowns in quality of care across many health care sectors. Perhaps the most pronounced …
- Center to Advance Palliative Care (CAPC) Delirium NewsScreening for Delirium: What Clinicians Should Know https://www.capc.org/blog/screening-for-delirium-what-clinicians-should-know/ Managing Delirium: What Clinicians Should Know https://www.capc.org/blog/managing-delirium-what-clinicians-should-know/
- CMS QSO Memo Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE)Includes a three-page section, Long Term Care Facilities (Skilled Nursing Facilities (SNFs) and/or Nursing Facilities (NFs)), plus guidance for all providers on staff vaccinations and emergency preparedness. Memo # QSO-23-13-ALL Posting Date 2023-05-01 Fiscal Year …
- OIG to Publish New Compliance Guidance, Including Nursing Home-Specific GuidanceThrough this Notice, OIG is notifying the public of the following: • OIG will no longer publish updated or new CPGs in the Federal Register. All current, updated, and new CPGs will be available on …
- SNF Provider Threshold Report for FY2025: Submission Status for the HCP Influenza Vaccine measure Displays IncorrectlySNOW IDs Status Categories Provider Types Description Date Reported Date Resolved Open Reports SNF Please be advised that the Submission Status for the HCP Influenza Vaccine measure is displaying incorrectly on the SNF Provider Threshold …
- Study: Reducing Fatigue and Errors Among Nurses Working Night ShiftsShort exposure to bright light could help shift workers generally combat fatigue 21-Apr-2023 7:45 PM EDT, by McGill University Newswise — Nurses exposed to 40 minutes of bright light before their night shifts feel less fatigued and …
- CDC Simplifies COVID-19 Vaccine Recommendations, Allows Older and Immunocompromised Adults to Get Second Dose of the Updated VaccineFollowing FDA regulatory action, CDC has taken steps to simplify COVID-19 vaccine recommendations and allow more flexibility for people at higher risk who want the option of added protection from additional COVID-19 vaccine doses. CDC’s …
- COVID-19 Treatment Guidelines UpdatedThe COVID-19 Treatment Guidelines Panel (the Panel) has just published a major update to the Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. Key changes include: · A new section titled Pregnancy, Lactation, and COVID-19 Therapeutics has been added to provide …
- SHEA/IDSA/APIC Practice Recommendation: Strategies to Prevent Healthcare-Associated Infections Through Hand Hygiene: 2022 UpdateThis is guidance for hospitals but may be helpful to SNFs as well. https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/sheaidsaapic-practice-recommendation-strategies-to-prevent-healthcareassociated-infections-through-hand-hygiene-2022-update/FCD05235C79DC57F0E7F54D7EC314C2C
- Sample iQIES MDS 3.0 ReportsWith the migration of Minimum Data Set (MDS) assessment submissions and reporting into iQIES, the Provider and Quality Measure reports that are currently available in the Certification and Survey Provider Enhanced Reporting (CASPER) system will …