Effective Oct. 31, 2024, skilled nursing facilities (SNFs) now are required to use an updated Skilled Nursing Facility Advance Beneficiary Notice of Noncoverage (SNF ABN), also known as form CMS-10055, and the corresponding revised instructions to provide financial liability notifications to residents under fee-for-service (FFS) Medicare Part A. Note: The …
Backdating, or placing an earlier date than the actual date on a document, is only permissible in limited Minimum Data Set (MDS) scenarios. Has anyone asked the nurse assessment coordinator (NAC) to change the assessment reference date (ARD) of a 5-Day prospective payment system (PPS) assessment after day 8? Is …
MDS items GG0130 (Self-Care) and GG0170 (Mobility) are a common source of headaches for both the nurse assessment coordinator (NAC) and the interdisciplinary team (IDT). While there is no one-size-fits-all approach for obtaining accurate documentation to support functional status coding, there are steps that the NAC can take in conjunction …
In this podcast, AAPACN Curriculum Development Specialists, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA and Jennifer LaBay RN, RAC-MT, RAC-MTA, QCP, CRC, discuss a few of the questions asked during the recent AAPACN webinar, “How to Prepare for FY 2025 ICD-10 Updates,” held on Sept. 12, 2024. Additional Resources:
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The Moving Forward Coalition, in partnership with A.G. Rhodes, Kansas State University (KSU), Dash Media, and The John A. Hartford Foundation, presents “The Foundation of Our Work: What Matters Most to Residents”! Why do we care so much about residents’ goals, preferences, and priorities? How can we make this deep, …
Section GG has greatly evolved since 2016. It was first introduced as just a few functional items completed only for Medicare Part A residents, but now it requires 26 functional tasks for all long-term care residents. The accuracy of section GG not only impacts reimbursement but also plays a fundamental …
Effective communication with residents in skilled nursing facilities (SNFs) is essential to understand their needs and preferences. In accordance with Appendix D of the Long-Term Care Facility Resident Assessment 3.0 User’s Manual (RAI User’s Manual) and the principles outlined in the Center for Medicare & Medicaid Services (CMS) Video on …
The Medicare Part A PPS Discharge assessment (i.e., the NPE item set) is now a crucial assessment with far-reaching impacts for skilled nursing facilities (SNFs) in the Skilled Nursing Facility Quality Reporting Program (SNF QRP), the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program, the Five-Star Quality Rating System, and …
Starting Oct. 1, 2024, additional supporting documentation is required to capture a diagnosis of sepsis at I2100, Septicemia on the MDS. Nurse assessment coordinators can use the AAPACN Sepsis: Nurse Documentation Training Aid to provide guidance to nurses on assessment and documentation needs when a resident is diagnosed with sepsis. …
Effective Oct. 1, 2024, the Centers for Medicare & Medicaid Services (CMS) removed column 2, discharge goals, from items GG0130 and GG0170 on the Minimum Data Set (MDS). Many nurse assessment coordinators will welcome the reduced coding of these expansive GG items. But just because these goals are no longer …
