Infection Control: F880 Targets Standards of Practice for Compliance

Throughout the new survey process that implements on Nov. 28, 2017, the entire survey team will observe for breaks in infection control. “Infection-control deficient practices will be observed if they are happening and identified and documented,” said officials with the Centers for Medicare & Medicaid Services (CMS) during the July …

Part A Certs/Recerts: Learn the Rules First-Hand

In many skilled nursing facilities (SNFs), the responsibility for obtaining Medicare Part A physician or nonphysician practitioner certifications/recertifications (certs/recerts) for skilled care has shifted to the nurse assessment coordinators (NACs) from medical records. “But often, the NACs or other staff members who are responsible for certs/recerts learned how to fill …

F602 – F605: CMS Breaks Out New Guidance Re: Exploitation, Restraints

Ten F-tags will address §483.12 (Freedom From Abuse, Neglect, and Exploitation) in the Code of Federal Regulations for the new survey process that rolls out Nov. 28, 2017. Some tags include both regulatory changes and updated interpretive guidance for surveyors in the advance copy of Appendix PP, “Guidance to Surveyors …

F600: CMS Puts Abuse Responsibility Squarely on Facility Staff

F600 (Free From Abuse and Neglect) is the first of 10 F-tags that will address §483.12 (Freedom From Abuse, Neglect, and Exploitation) in the Code of Federal Regulations for the new survey process that rolls out Nov. 28, 2017. The revised interpretive guidance in the advance copy of Appendix PP, …

Guided by the MOON? Not a Good Idea

Since March 8, all hospitals and critical-access hospitals are required to issue the Medicare Outpatient Observation Notice (MOON) to fee-for-service Medicare and Medicare Advantage beneficiaries who receive observation services as outpatients for more than 24 hours. The MOON informs these patients that they are outpatients receiving observation services, not inpatients …

Best Practices for Involving Nurse Aides in Care Planning

The Final Rule revising the Medicare/Medicaid conditions of participation (aka the Mega Rule) requires that a nursing assistant who has responsibility for the resident participate on the interdisciplinary team that develops the comprehensive person-centered care plan, including the discharge plan, for each resident. “Industry leaders have been trying to get …