In this podcast, Amy Stewart, vice president of education and certification strategy for AAPACN, and Carol Maher, director of education for Hansen, Hunter & Co., discuss ICD-10 diagnosis coding for skilled nursing facilities.
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The functional assessment coded in section GG often brings with it many questions— Should therapy complete this section? What type of documentation is needed? Can I use nurse aide documentation? How do we determine usual performance? The AAPACN Section GG Process Flow Chart will help your team establish a process …
Question: If a resident had a hospital stay for hip fracture repair, with no complications documented, and the hospital documentation supports a diagnosis of hip fracture as the initial encounter, do I need to query the physician for the subsequent encounter diagnosis to be used in the SNF? Answer: The …
Question: We are seeking clarification on MDS item K0510C, mechanically altered diet. If a resident is being trialed on a mechanically altered diet or given thickened liquids provided during a speech therapy visit to facilitate oral intake, could K0510C, mechanically altered diet, be coded on the MDS if it was …
The COVID-19 Emergency Blanket Waivers for Health Care Providers that was updated and released on Nov 29, 2021 adds a new waiver that allows more flexibility in the education and training requirements for individuals serving as Directors of Food and Nutrition Services. Want to read more Q&As? Visit the AAPACN …
The annual Measures Under Consideration (MUC) List from CMS includes four SNF VBP measures and two SNF QRP measures. 2021 MUC List (PDF) from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Pre-Rulemaking See Appendix A for measure specifications. MUC ID Measure Title Description Measure Type Measure Steward CMS Program(s) MUC2021 -095 CoreQ: Short Stay Discharge Measure The …
Question: I have a Medicare Part A resident discharging to another SNF and will continue skilled Medicare there. Would I combine the OBRA Discharge with a PPS Part A Discharge assessment? In A2400, would I put the day she discharged as her Medicare Part A end of stay or would …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN and Erin DuPrae, OTR/L, clinical support specialist with AAPACN Diamond Partner, Synchrony Rehab, discuss how facilities can be proactive with Part B denials and how to prepare for appeals.
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The section “SNF Qualifying Hospital Stay (QHS) and Benefit Period Waivers” in MLN Matters Special Edition Article SE20011 Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) has been updated. The emergency SNF QHS and benefit period requirements under Section 1812(f) of the Social Security Act …
The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course for those who are new to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). This course is designed to provide a general overview of the program as well as a variety of links and resources …
