• Guide to Successful Restorative Programs

    By AANAC - August 16, 2018
    Read more
  • 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.”

    Read more
  • 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:

    Read more
  • 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.
    Read more
  • 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:
    Read more
  • 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.
    Read more
  • 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.

    Read more
  • 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.

    Read more
  • 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.

    Read more
  • LTCSP: CMS-802 Provider Matrix 1/2018 version

    By CMS - August 06, 2018

    Provider Matrix used in the Long-term Care Survey Process

    Read more
  • LTCSP Revision History for Survey Tools and Files (8/18)

    By CMS - August 05, 2018
    CMS has created a document to track revisions to all Long-term Care Survey Process documents and files.
    Read more
  • Nursing Home Compare Claims-based Measures Technical Specifications Updated (8/18)

    By CMS - August 02, 2018
    This update contains the specifications for the Number of Hospitalizations per 1,000 Long-Stay Resident Days measure, including details on the numerator and denominator for the measure, exclusions, and the measure calculation methodology. The technical specifications will be updated with details on the risk-adjustment model prior to this measure being posted on Nursing Home Compare in October 2018. This update adds MDS variables to the risk-adjustment models of the short-stay, claims-based quality measure and updates the coefficients for each variable, based on data from October 1, 2016 to September 30, 2017.
    Read more
  • Goodbye RUG-IV: PDPM Will Implement On Oct. 1, 2019

    By Caralyn Davis, Staff Writer - August 02, 2018
    On July 31, the Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year (FY) 2019 Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule, ushering in a new payment era for traditional fee-for-service Medicare Part A that will be unlike anything SNFs have seen before. The Patient-Driven Payment Model (PDPM) will go into effect on Oct. 1, 2019 (i.e., starting with FY 2020), replacing the RUG-IV case-mix classification model that has been the hallmark of SNF PPS for years.
    Read more
  • Barriers to Implementing a Successful Restorative Program

    By Jessica Kunkler, MS, Staff Writer - August 01, 2018
    Restorative programs are not required by federal regulation, but what is required is that facilities provide services to help residents maintain or attain their highest practicable level of physical, mental, and psychosocial well-being. Meeting this goal necessitates restorative programming. However, successfully implementing restorative programming has its own challenges. Here are some of the common ones.
    Read more
  • FY 2019 SNF PPS Final Rule Posted

    By CMS - July 31, 2018
    Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities Final Rule for FY 2019, SNF Value-Based Purchasing Program, and SNF Quality Reporting Program

    This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2019. This final rule also replaces the existing case-mix classification methodology, the Resource Utilization Groups, Version IV (RUG-IV) model, with a revised case-mix methodology called the Patient-Driven Payment Model (PDPM) beginning on October 1, 2019. The rule finalizes revisions to the regulation text that describes a beneficiary’s SNF “resident” status under the consolidated billing provision and the required content of the SNF level of care certification. The rule also finalizes updates to the SNF Quality Reporting Program (QRP) and the Skilled Nursing Facility ValueBased Purchasing (VBP) Program. 

    Read more
1 of 31 Next