Sepsis: Nurse Documentation Training Aid

Starting Oct. 1, 2024, additional supporting documentation is required to capture a diagnosis of sepsis at I2100, Septicemia on the MDS. Nurse assessment coordinators can use the AAPACN Sepsis: Nurse Documentation Training Aid to provide guidance to nurses on assessment and documentation needs when a resident is diagnosed with sepsis. …

I0020B: Avoid Common Sources of Confusion When Coding This MDS Item

The ICD-10-CM code captured in MDS item I0020B (ICD-10 Code/Primary Medical Condition Category) is the foundation of case-mix classification for the Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) payment components in the Patient-Driven Payment Model (PDPM) under the fee-for-service Medicare Part A skilled nursing facility prospective payment …

Updates to ICD-10-CM Coding Guidelines: Key Revisions and Their Implications

The International Classification of Diseases, Clinical Modification, 10th revision (ICD-10-CM), coding system is an essential tool needed to document and bill accurately for healthcare services in the long-term care (LTC) setting. Annual updates to both the coding guidelines and the actual codes reflect updated clinical practices, advancements in medical understanding, …

Small Updates, Big Impact: October 2024 RAI Manual Changes – Sept. 19, 2024

Members: $24 |  Non-members: $48Continuing Education: 1.25 CE hours Recording Date: Sept. 19, 2024Duration: 75 minutesSpeaker: Jessie McGill, RN, BSN, RAC-MT, RAC-MTA Every October, nurse assessment coordinators (NACs) nervously anticipate what Resident Assessment Instrument (RAI) User’s Manual changes will impact their primary duties and workflows. Some years bring massive changes, which result in policy …

Skilled Teaching and Training: Benefit From the Care Team’s Expertise

Like care plan management and evaluation and observation and assessment of a resident’s condition, teaching and training activities are a core nonskilled component of resident care that can rise to the level of a skilled service. Another way that these indirect skilled services are alike is that they historically haven’t …

Quality Measure IQ Series: Discharge Function Score Measure

The newest section GG Quality Measure (QM), the Discharge Function Score, has left many nurse assessment coordinators (NACs) with more questions than answers about how it is calculated. This measure estimates the percentage of Medicare Part A skilled nursing facility (SNF) stays that meet or exceed an expected Discharge Function …

Revised SNF ABN (Form CMS-10055) Mandatory Oct. 31, 2024

With the help of contractors, CMS revised the SNF ABN, Form CMS-10055, and the form instructions.  The SNF ABN form and instructions are located in the download section and are available for immediate use, but will be mandatory for use on 10/31/2024.     Skilled Nursing Facilities (SNFs) must issue a notice …

From Data Elements to Quality Measures: CMS Training

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. The course also discusses the relationship between these data elements …

Section GG Web-based Training Series From CMS

The Centers for Medicare & Medicaid Services (CMS) is offering an updated series of web-based training courses that provide an overview of the assessment and guidance to promote accurate coding of the post-acute care (PAC) cross-setting Section GG data elements. Each course contains interactive exercises to test your understanding. To …