• TIP: How Will The Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program Incentive Multiplier Affect Your Rate For FY2019?

    By AANAC - August 16, 2018
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  • Guide to Successful Restorative Programs

    By AANAC - August 16, 2018
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  • Restorative Collaboration: Nursing and Therapy Working Together

    By Jessica Kunkler, Staff Writer - August 13, 2018

    Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT, president of Senior Providers Resource, LLC, recalls being a new nurse and noticing that while facility staff do everything they can to make the environment safe and prevent falls, they often don’t do enough to prevent the real reason for the falls: immobility. According to Lundgren, “Immobility is why people fall, get pressure injuries, diabetes, arthritis, depression, and social isolation. We are not meant to sit around.”

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  • B0700 and B1000: Two Items Worth Reviewing

    By Caralyn Davis, Staff Writer - August 13, 2018

    In MDS 3.0 Section B (Hearing, Speech, and Vision), nurse assessment coordinators (NACs) might be surprised by the importance of two items: B0700 (Makes Self Understood) and B1000 (Vision). Here’s why they should matter to interdisciplinary team members who code these items—and what NACs should check to ensure coding accuracy:

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  • August Challenge Question

    By AANAC - August 13, 2018

    Question: A resident was admitted on Medicare Part A on July 15, 2018.  The Admission assessment combined with the PPS 5-day had an ARD of 7/22/18 and was completed and submitted 7 days later.  On 7/28/18, the resident experienced a change in condition and hospice was elected the same day. Five days later, on 8/2/18, the resident’s condition improved and the family and resident revoked hospice and skilled Medicare services were restarted. 

    Is a beneficiary notice required for 7/28/18 when Medicare Part A ended and Hospice services started? If so, what notice(s) are required?

    Is a Significant Change in Status Assessment (SCSA) required?

    What assessment, if any, is required following Hospice revocation on 8/2/18?

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  • Q&A: We received a letter for non-compliance with SNF QRP requirements, can we make any corrections now?

    By Carol Maher, RN-BC, CPC, RAC-MT - August 13, 2018
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  • Q&A: Can we initiate a restorative program if a resident is receiving therapy services?

    By Jane Belt RN, MS, RAC-MT, RAC-CT, QCP - August 13, 2018
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  • Q&A: Several days after a fall, we found out the resident had sustained a fracture and as a result the resident was discharged to the hospital. Do I code this injury on the discharge assessment?

    By Scott Heichel RN, DNS-CT, RAC-MT - August 13, 2018
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  • 5 Ways to Celebrate Your RAC-CT Certification

    By AANAC - August 10, 2018

    You just passed your final exam and you’re ready to tell the whole world that you are finally RAC-CT certified! With your certificate in hand, you may be wondering - how do you celebrate? Here are a few suggestions on how to spread the word, share your joy with others, and be RAC-CT proud!

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  • FY 2019 SNF VBP Annual Performance Scores: Correction Requests Due Aug. 31

    By MLN Connects - August 10, 2018
    Annual Performance Score Reports for the FY 2019 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program year are now available. SNFs with eligible stays during the CY 2017 performance period can retrieve reports via the Certification and Survey Provider Enhanced Reporting (CASPER) System. Review and submit correction requests for your performance score and ranking information by August 31 at 11:59 pm.
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  • RAI Manual v1.16 Arrives In September, But Start Training Now

    By Caralyn Davis, Staff Writer - August 07, 2018
    On July 31 – August 1, the Centers for Medicare & Medicaid Services (CMS) held a two-day train-the-trainer seminar to jumpstart provider preparations for the MDS item changes, as well as the updates to the Skilled Nursing Facility Quality Reporting Program (SNF QRP), that will implement this Oct. 1, 2018. The revisions will be wide-ranging. On the MDS side, there will be key item changes in these seven MDS sections:
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  • LTCSP Initial Pool Care Areas UPDATED (8/18)

    By CMS - August 06, 2018
    This includes four documents, one each for: record review, resident interview, resident observations, and resident representative interview. They walk through what the surveyors investigate/ask related to each care area during the initial pool to help determine which residents they will choose for in-depth investigations in the final sample. In other words, these screening tools trigger surveyors to either investigate further or not investigate further.
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  • LTCSP Survey Pathways: Critical Element Pathways & Facility Task Pathways - UPDATED (8/18)

    By CMS - August 06, 2018

    New Survey process preparation materials, aka Long-term Care Survey Pathways, updated in August 2018.

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  • CMS FAQs: LTC Regs, Survey Process, and Training UPDATED (8/18)

    By CMS - August 06, 2018

    CMS updated these Long-term care survey process (LTCSP) FAQs on Aug. 3, 2018.  Topics covered: 

    A. 483.10 Resident Rights; B. 483.12 Freedom from Abuse, Neglect, and Exploitation; C. 483.15 Admission, Transfer, and Discharge; D. 483.20 Resident Assessments; E. 483.21 Comprehensive Resident Centered Care Plans; F. 483.24 Quality of Life; G. 483.25 Quality of Care; H. 483.30 Physician Services; I. 483.35 Nursing Services; J. 483.40 Behavioral Health Services; K. 483.45 Pharmacy Services; L. 483.50 Laboratory, Radiology, and Other Diagnostic Services; M. 483.55 Dental Services; N. 483.60 Food and Nutrition Services; O. 483.65 Specialized Rehabilitative Services; P. 483.70 Administration, F838 Facility Assessment; Q. 483.75 Quality Assurance and Performance Improvement (QAPI); R. 483.80 Infection Control; S. 483.85 Compliance and Ethics Program; T. 483.90 Physical Environment; U. 483.95 Training Requirements; V. LTC Survey Process Training; W. LTC survey Process; and Z. General Questions.

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  • LTCSP Survey Resources Including Entrance Conference Worksheet and Beneficiary Protection Notification Review Worksheet UPDATED (8/18)

    By CMS - August 06, 2018
    This Long-term Care Survey Process ZIP file contains a multitude of reference materials that are provided to the surveyors going into facilities, including, for example, a document detailing their principles of documentation, a document showing how they edit and finalize statements of deficient practices, and a tool breaking out resident interview questions in the initial pool process by care areas, such as choices, activities, abuse, etc. In addition, this file is now the only resource containing the Entrance Conference Worksheet and the Beneficiary Protection Notification Review Worksheet.

    NOTE: CMS updated this file on Aug. 3,  2018.

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