Question: We have a resident that is in our facility for skilled services under Medicare Part A. The family took the resident out for a funeral, and she did not return within 24 hours. Is this a Medicare Part A discharge? Answer from Jeff Taylor: This would not be a …
Understanding the technical and skilled level care requirements for Medicare A is always a challenge. We’ve broken down the process with our Skilled or Not? tool. For permission to use or reproduce this article in full or in part, please complete a permissions form.
Do you and the interdisciplinary team know when an Interim Payment Assessment (IPA) is warranted? In AAPACN’s IPA Algorithm tool, find out the steps you’ll need to take in the event that there is a projected change in the case-mix index and how it may determine whether the IDT should …
The complexities of assigning codes for COVID-19 and associated manifestations can be a confusing process. The AAPACN COVID-19 Diagnosis Flow Chart tool uses chapter-specific coding guidance for FY 2023 and will assist the user to ensure all appropriate diagnoses are considered when using the ICD-10-CM coding manual for final code …
The Centers for Medicare & Medicare Services (CMS) requires PBJ data to be submitted at least quarterly. It is imperative that this data is accurate as it is publicly reported and impacts the Five Star rating, is included in the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program for fiscal …
CMS has an online home for the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program that offers multiple resources explaining how the program works. Landing page: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/SNF-VBP/SNF-VBP-Page.html Spotlights & Announcements Scoring Methodology & Payment Adjustment Confidential Feedback Reporting & Review and Corrections Extraordinary Circumstance Exception Public Reporting of SNF VBP …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, and Carol Maher, RN-BC, RAC-MTA, RAC-MT, CPC, director of education for Hansen, Hunter & Co., P.C./Synergy Healthcare Resources/Axiom/HealthBridge, …
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Ah, the great mysteries of life. Which came first, the chicken or the egg? Is there intelligent life on other planets? Where do all the missing socks go? And of course, the enduring mystery: what is the interrupted stay policy? Interrupted stays may not happen often, and every skilled nursing …
For Medicare residents, nurse assessment coordinators (NACs) need to determine whether an interrupted stay has occurred and ensure that the correct MDS assessments, both OBRA and PPS, are in place. AAPACN’s Interrupted Stay Tracker tool provides interactive tracking based on the first non-covered day. This tool also allows the NAC …
The interrupted stay policy designates that a Medicare stay is considered a continuous stay when it is interrupted by less than three non-covered days. AAPACN’s Interrupted Stay Policy Quick Guide provides the key facts for determining if an interrupted stay has occurred and a visual to show how an interrupted …
