The Significant Change in Status Assessment: Key Issues Related to v1.18.11 and Beyond

The Significant Change in Status Assessment (SCSA) was not a major focus of the revisions in the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual v1.18.11. However, some of the v1.18.11 MDS coding changes could have an outsized impact on the SCSA process if nurse assessment coordinators (NACs) fail …

Relieving the Pressure of Coding Reopened Pressure Ulcers

In the updated Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User’s Manual, v1.18.11, the Centers for Medicare & Medicaid Services (CMS) added several clarifications to help ease the pressure that nurse assessment coordinators (NACs) experience attempting to code section M accurately. Although strong clinical documentation of these wounds is …

Section M Pressure Ulcer/Injury: Algorithms for Present on Admission

Properly coding pressure ulcers or injuries can be tricky. AAPACN’s Section M Pressure Ulcer/Injury: Algorithms for Present on Admission helps guide the assessor on whether to code present on admission in variety of situations.     This AAPACN resource is copyright protected. AAPACN individual members may download or print one copy …

MDS v1.18.11 Is Here: How to Double-Check Efficiency for Long-Term Success

Now that the MDS version 1.18.11 item sets and the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual v1.18.11 are in play, there are still steps that nurse assessment coordinators can take to ensure that MDS processes are as efficient as possible under the new system. These include the …

4 Essential MDS Changes Documents NACs May Have Missed

The Centers for Medicare & Medicaid Services (CMS) recently released the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User’s Manual version 1.18.11, and also a document outlining the draft-to-final changes and updated item sets (v.1.18.11 v5). But the updates and clarifications don’t end there. Nurse assessment coordinators (NACs) need …

Implement the New and Revised Resident Interviews on the MDS: How to Be Ready for Oct. 1

Most of the changes in the MDS version 1.18.11 item sets and the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual v1.18.11 are resident-driven, says Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, a curriculum development specialist with AAPACN. “More than ever, resident interviews are the primary source of MDS …

Preparing for Success with ICD-10-CM Changes Oct. 1: How the Facility Coder and Provider Can Ensure Accurate Diagnosis Codes

Effective International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) coding relies on meticulous clinical documentation. It’s not just about assigning codes; it’s about ensuring consistent and comprehensive documentation that substantiates every facet and the specificity of a diagnosis. This documentation should originate from a provider, that is, a physician …

Provider ICD-10-CM Documentation Tip Sheet for Long-Term Care

ICD-10-CM coding requires consistent and complete documentation from the provider (physician/nonphysician practitioner) to support all aspects and specific details of the diagnosis. This AAPACN Provider ICD-10-CM Documentation Tip Sheet for Long-Term Care tool serves as a companion to the Centers for Medicare & Medicaid Services (CMS) presentation ICD-10 and Clinical …

SNFRM: Technical Specifications for This SNF VBP Measure

2023 Measure Updates and Specifications Report Skilled Nursing Facility Value-Based Purchasing Program Skilled Nursing Facility 30-Day All-Cause Readmission Measure –Version 2.0 This report describes updates that have been made to the Skilled Nursing Facility 30-Day All-CauseReadmission Measure (SNFRM) used in the SNF Value-Based Purchasing (VBP) Program during annualreevaluation. The report …

Need Behavioral Health Training Help? Check Out the COE-NF

The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF), which opened its online doors in December 2022 thanks to a three-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA), is a centralized hub where any Medicare- or Medicaid-certified nursing home can access trainings, tools, and …