Summer Heat and Care Planning

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy and Jessie McGill, RN, RAC-MT, RAC-MTA, discuss heat-related risks to residents, what to consider when care planning, as well as the impacts that heat- and exposure-related conditions have on MDS coding.

COVID-19 Diagnosis Coding Guidance Timeline for Auditing Claims Diagnosis Coding Tool

Recently, CMS resumed medical reviews for Medicare claims for dates of service after March 2020; however, it may be difficult for facility staff to audit COVID-19-related diagnoses due to how frequently guidance was updated from February 2020 through January 1, 2021. AAPACN’s COVID-19 Diagnosis Coding Guidance Timeline for Auditing Claims …

Care Area Assessments: Don’t Let CAAs Be the Missing Link in the RAI Process

The care area assessment (CAA) process sometimes mistakenly gets lumped under the “required but not critical to resident care” label of regulatory paperwork. While working the CAAs is indeed a mandatory step in the Resident Assessment Instrument (RAI) process for OBRA comprehensive MDS assessments, it’s also a crucial link between …

Q&A: Can a resident disenroll in a Medicare Advantage (MA) plan and revert back to Original Medicare when the 3-day qualifying hospital stay was waived for the MA plan?

Question: A resident admitted for skilled care under a Medicare Advantage (MA) plan. The plan did not require a 3-day qualifying hospital stay (QHS) and the resident was hospitalized for observation only. The resident has elected to disenroll in the MA plan and revert back to Original Medicare. Is this …

O0100: Learn Potential Coding Issues With This High-Impact MDS Item

MDS item O0100 (Special Treatments, Procedures, and Programs) has 12 sections with two columns (24 total subitems) that identify specific services the resident received either while not a resident (column 1) or while a resident (column 2) during the 14-day lookback period. These O0100 items play a significant role in two …

Interim Payment Assessment Considerations Tool

A question that comes up often lately for nurse assessment coordinators (NACs) is, “Should I do an IPA?” The assessment is optional, which can also make deciding when to complete one a challenge. Depending on the situation and changes the resident has experienced, there are several considerations the NAC will …

Updated Guidance for Emergency Preparedness-Appendix Z of the State Operations Manual (SOM): CMS Memo QSO-21-15-ALL (4/21)

Memo # QSO-21-15-ALL Posting Date 2021-03-26 Fiscal Year 2021 Summary Burden Reduction Final Rule Interpretive Guidelines: The Centers for Medicare & Medicaid Services (CMS) is releasing interpretive guidelines and updates to Appendix Z of the State Operations Manual (SOM) as a result of the revisions of the Medicare and Medicaid …

COVID-19 Vaccine Effectiveness Among Health Care Workers and Other Front-Line Workers (4/21)

Interim Estimates of Vaccine Effectiveness of BNT162b2 and mRNA-1273 COVID-19 Vaccines in Preventing SARS-CoV-2 Infection Among Health Care Personnel, First Responders, and Other Essential and Frontline Workers — Eight U.S. Locations, December 2020–March 2021   Weekly / April 2, 2021 / 70(13);495–500 Summary   What is already known about this topic? …

Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination (3/21)

Updated Mar. 10, 2021 Find the most recent update here: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-after-vaccination.html CDC guidance for SARS-CoV-2 infection may be adapted by state and local health departments to respond to rapidly changing local circumstances. On this page Visitation Work restriction for asymptomatic healthcare personnel and quarantine for asymptomatic patients and residents SARS-CoV-2 Testing …

10-Week Nurse Assessment Coordinator Orientation Guide Tool

Orientation for a new nurse assessment coordinator (NAC) is a very complex and long process. It is important to establish a realistic schedule that will allow for effective learning but will not be overwhelming. AAPACN’s new 10-Week NAC Orientation Guide will help pace the orientation process and set the foundation …