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 …

The DNS’s Role in the Annual Budget

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, curriculum development specialist for AAPACN, discuss the director of nursing services’ (DNS’s) role in the annual budget.

BIMS MDS Coding Video Tutorial Updated

The Centers for Medicare & Medicaid Services (CMS) is offering an updated video tutorial to assist providers with guidance application and interview strategies for the cognitive assessment known as the Brief Interview for Mental Status (BIMS) found in the MDS 3.0 RAI v1.18.11, effective October 1, 2023. This video tutorial …

NAC Quick Reference Guide to the End of the COVID-19 PHE Waivers

The Centers for Medicare & Medicaid Services (CMS) has announced the COVID-19 public health emergency (PHE) will end on May 11, 2023. The end of the PHE declaration also marks the end of temporary waivers that were granted during the PHE, including waiving the 3-day qualifying hospital stay requirement and …

ABN (Form CMS-R-131) for Part B SNF Services

The ABN, Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. The use of the renewed form with the expiration date of 01/31/2026 will be mandatory on 6/30/23. You may continue to use the ABN form with the expiration date of 6/30/23 until the …

SNF QRP: SNF Discharge Function Score Technical Report

This report presents the Discharge Function Score measure specifications. Section 2 provides an overview of the measure and a high-level summary of the key features of the measure that are described in detail in the remaining sections of the document. Section 3 describes the methodology used to construct the Discharge …

CMS Section GG Training Videos: GG0130A, GG0110, GG0170C, GG0130B, Decision Tree for GG0130/GG0170

Video Tutorials Available to Assist with Coding Specific Section GG Items The Centers for Medicare & Medicaid Services is releasing a series of short videos to assist providers with coding select Section GG items on the OASIS, IRF-PAI, LTCH CARE Data Set, and the MDS. These videos, ranging from 4-12 …

Medicare Medical Review Contractors Overview

Since the Medicare program is heavily monitored for improper payments to protect the Medicare Trust Fund, it is likely your facility will experience a medical review by a Medicare contractor. The AAPACN Medicare Medical Review Contractors Overview tool provides a summary of the different types of Medicare contractors that may …