Accurate diagnosis coding is critical in nursing facilities (NFs) for care planning, reimbursement, and quality measurement. NF coders must understand ICD-10-CM conventions, general coding guidelines, and chapter-specific coding guidelines that affect how diagnoses are assigned. Coding guidance can be found in the ICD-10-CM Official Guidelines for Coding and Reporting for FY …
Question: A resident came to our facility for a short stay with a Stage 4 pressure ulcer. The resident has since exhausted his 100 days of Medicare, became a long-term resident, and still has the Stage 4 pressure ulcer. Will this resident trigger the long-stay pressure ulcer measure? Answer from Jessie …
Question: When a resident received IV fluids (K0520A) for hydration, but did not have any calories from the fluids, do we code K0710A (Proportion of total calories the resident received through parenteral or tube feeding) as 1. 25% or less? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: Correct, …
Question: A resident was admitted to our facility on Medicare Part A and passed in facility after only a couple of hours. I had scheduled a 5-Day/Admission for the 7th day before she passed. How do I set up MDS assessments? I know I can’t combine the death in facility …
Members: $24 | Non-members: $48Continuing Education: 1.25 CE hoursRecording Date: Jan. 30, 2025Duration: 75 minutesSpeaker: Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC The alphabet soup of the Medicare beneficiary notices initiative (BNI) recently got a new recipe, and understanding these changes is critical for skilled nursing facilities (SNFs). With recent updates impacting the SNF …
By Greg Seiple Navigating the complexities of healthcare, especially in post-acute care, can often feel daunting. For professionals involved in skilled nursing facilities, understanding the metrics that influence patient care is crucial. One of these key metrics is the Discharge Function Score (DFS), a valuable tool that helps gauge a …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, curriculum development specialists with AAPACN, discuss best practices to prepare for an AAPACN certification. Additional Resources:
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By Greg Seiple Discharge planning is an essential component of patient care in skilled nursing facilities. But how do healthcare professionals determine when a resident is ready to leave and manage daily activities independently? Enter the Discharge Function Score—a critical tool in evaluating a resident’s ability to function outside of …
The ability to exercise clinical judgment to define usual performance in MDS items GG0130 (Self-Care) and GG0170 (Mobility) offers nursing homes unprecedented opportunity to impact quality measures (QMs), says Rosanna Benbow, RN, CCM, ICC, IP, DNS-CT, QCP, RAC-CTA, regional director of operations at Proactive LTC Consulting in Evansville, IN. “You …
Care Compare refreshes MDS 3.0 Quality Measure (QM) data quarterly in January, April, July, and October with the most recent four full quarters of data. AAPACN’s Five-Star and Care Compare MDS 3.0 Quality Measure Data Periods tools identify exactly which quarters will be publicly reported and used in Five-Star with …
