• CMS Updates RAI User’s Manual—Short Synopsis

    By Judi Kulus, MSN, MAT, RN, RAC-MT, DNS-CT, QCP - August 29, 2016
    On June 2, the Centers for Medicare & Medicaid Services (CMS) posted revisions to the Long-Term Care Facility Resident Assessment Instrument User’s Manual, impacting more than 300 pages of the manual. These changes include implementation of the new Medicare Part A PPS Discharge assessment and the new section GG, “Functional Abilities and Goals.” Additional changes and clarifications impact sections C, J, and M. The following is a very short synopsis of and excerpts from the update. Assessors should take the time to study the manual sections for which they are responsible.
    Read more
  • CMS Will Release Transition Document for Oct. 1 Changes

    By Caralyn Davis, Staff Writer - August 29, 2016
    Since the new MDS 3.0 changes implement for residents with an assessment reference date (ARD) of Oct. 1, 2016, forward, “there is going to be a subset of [Medicare Part A] patients who will not have an admitting Section GG because they were admitted prior to Oct. 1,” said officials with the Centers for Medicare and Medicaid Services (CMS) at the Aug. 25 Skilled Nursing Facility/Long-term Care Open Door Forum (ODF). “We are not requesting facilities to go back to those patients who are admitted prior to Oct. 1 [to complete an admitting Section GG]. So it’s just going to be a transition time.”
    Read more
  • 2017 Annual Update of HCPCS Codes for SNF Consolidated Billing (8/16)

    By CMS - August 29, 2016

    By the first week in December 2016, new Excel and PDF files will be posted to the CMS Web site at: http://www.cms.gov/SNFConsolidatedBilling/ . 


    Read more
  • Oct. 13 IMPACT Act: Data Elements and Measure Development Call - Register Now

    By CMS - August 29, 2016
    During this call, CMS experts discuss how data elements are used in measure development. Find out how information from assessment instruments is used to calculate quality measures. The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) requires the reporting of standardized patient assessment data on quality measures, resource use, and other measures by Post-Acute Care (PAC) providers, including skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals.

    Read more
  • Finalized RAI Manual for Oct. 1, 2016, Implementation Is Posted (8/16)

    By CMS - August 25, 2016

    The finalized MDS 3.0 RAI Manual v1.14 and MDS forms, effective October 1, 2016, is posted. This version of the MDS 3.0 RAI Manual incorporates the new Section GG: Functional Abilities and Goals, the new Part A PPS Discharge assessment, and clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios concerning complex areas.

    Read more
  • CMS Seeks to Standardize More Assessment Data Across PAC: Wants Input by 9-12-2016

    By CMS - August 23, 2016

    The Centers for Medicare & Medicaid Services (CMS) has contracted with RAND to develop standardized assessment-based data items to meet the requirements as set forth under the IMPACT Act of 2014, Section 2(a). The contract name is “Development and Maintenance of Post-Acute Care Cross-Setting Standardized Assessment Data." As part of its data element development process, CMS requests interested parties to submit comments on the data elements described in this posting, which are being considered for this project.

    Read more
  • Aug. 25 SNF/LTC Open Door Forum Agenda and Call-in Information

    By CMS - August 22, 2016

    To participate by phone: Dial: 1-800-837-1935 & Reference Conference ID: 42968641.

    Read more
  • Functional Outcomes QM Development: TEP Summary Report (8/16)

    By CMS - August 22, 2016
    RTI International, on behalf of the Centers for Medicare & Medicaid Services (CMS), convened a Technical Expert Panel (TEP) to seek expert input on the development of Functional Outcome Quality Measures for Skilled Nursing Facilities (SNFs). This all-day, in-person TEP meeting was held on May 5, 2016, in Baltimore, MD. This TEP summary report provides describes that TEP proceedings, detailing key issues related to measure development, and TEP discussion around those issues. This report also provides a summary of the background, the process for the TEP meetings, and the organization of the TEP report.
    Read more
  • Aug. 24 CMS SNF QRP Training Session Materials and Livestreaming Info

    By CMS - August 18, 2016
    Training materials for the 1-day Skilled Nursing Facility Quality Reporting Program (SNF QRP) Provider Training event on August 24, 2016, near Chicago, Illinois, are now available. Training materials for the August training include the PowerPoint presentations and materials that will be used during participant activities for those who will be participating electronically via livestream.
    Read more
  • Coding Medicare Stay Dates and Discharges on PPS Discharge Assessments

    By Caralyn Davis, Staff Writer - August 17, 2016
    “While the new Section GG (Functional Abilities and Goals) of the Part A PPS Discharge assessment will be on everyone’s radar this summer, my fear is that not paying attention to the technical details in Section A (Identification Information) could end up costing providers,” says Robin Hillier, CPA, STNA, LNHA, RAC-MT, president of RLH Consulting in Westerville, Ohio. “It could be similar to the situation providers faced with the implementation of the Medicare Short-Stay assessment, which created a lot of confusion due to its very specific coding requirements.”
    Read more
  • Quality Measure Brain Twisters: What the New QMs Really Mean

    By Jessica Kunkler, MA, Staff Writer - August 17, 2016
    As mandated by the IMPACT Act and as part of the Skilled Nursing Facility Quality Reporting Program, CMS is creating a cross-measure reporting program for long-term acute care (LTAC) facilities, inpatient rehabilitation facilities (IRFs), home health agencies (HHAs), and skilled nursing facilities (SNFs). 
    Read more
  • CMS and AANAC to the Rescue: Resources to Help NACs

    By Emily Royalty-Bachelor, Staff Writer - August 17, 2016

    Any NAC can tell you that MDS is a language all its own, and usually, it’s a language that only MDS professionals are fluent in. Combined with the nuances of the RAI process and the weight of responsibility that being an MDS coordinator entails, the role can be daunting without the proper support. Whether new to the position or a veteran of the field, MDS coordinators face daily hurdles that they must overcome in order to do their jobs effectively.

    Read more
  • FINAL MDS Item Sets v1.14.1 Effective Oct. 1, 2016

    By CMS - August 12, 2016

    A new version (v1.14.1) of the MDS 3.0 item sets was posted, including the new Part A PPS Discharge assessment.  This version is scheduled to become effective October 1, 2016.  The item sets should be considered final.

    Read more
  • SNF PPS Payment Model Research: TEP Reports UPDATED (8/16)

    By CMS - August 12, 2016

    CMS contractor Acumen LLC is studying potential alternatives to the existing methodology used to pay for services under the SNF prospective payment system (SNF PPS). Acumen hosted two technical expert panels (TEPs) during 2015, one related to therapy payments and the second related to nursing and nontherapy ancillaries. In November 2015, CMS posted the presentation and a summary report from the first TEP. In April 2016, CMS posted information from the second TEP related to nursing and nontherapy ancillaries. In August 2016, CMS posted information from a third TEP--held in 2016--to provide an outline of basic payment structure for a revised SNF PPS, including the various new components of the revised SNF PPS and a discussion of potential pricing schedules which may be incorporated.

    Read more
  • Section GG: Four-Part CMS YouTube Training Video Series (8/16)

    By CMS - August 09, 2016

    CMS has released a four-part YouTube training series for Section GG of the MDS 3.0

    Read more
1 of 18 Next