Source: http://wwwstaging.aanac.org/Information/LTC-Leader-Newsletter
Timestamp: 2017-07-26 20:29:33
Document Index: 64608815

Matched Legal Cases: ['art 2', 'art 1', 'art 2', '§483', 'art 1', 'art 2', 'art 2', 'art 1']

July 2017 Pressure Ulcer Coding Algorithm
Best Practices for Reporting Wounds
Section H: Best Practices for an Individualized Toileting Program
Q&A: How do I schedule a COT after a skip day (LOA)? Q&A: Is a SCSA required for short-term rehabilitation residents? Q&A: How early can a quarterly assessment be scheduled?
Q&A: Does the PPS Part A Discharge Assessment ARD always have to equal the last Medicare day at A2400C? SNF QRP Review and Correct Reports: The Basics
Q&A: A resident answered “no” to having pain during the MDS interview, but documentation shows one episode of pain during the 5-day look-back period. How should I code this? Q&A: How can I check for errors on the SNF Review and Correct Report? Q&A: What new MDS items will be added in October? Q&A: Can a resident who exhausted Medicare benefits on a g-tube and continues the same level of care ever regain a new Medicare benefit period? June 2017 SNF QRP Quarterly Deadlines Impact Payment and Public Reporting
The Importance of Documentation in Long-Term Care for Chronic Medical Conditions Q&A: A Medicare Part A resident discharged to the hospital, but we did not complete the Medicare Part A PPS discharge assessment. Should I go back and modify?
Q&A: When would it be appropriate for the resident not to attend the care plan meeting according to the new regulations?
Q&A: I missed a quarterly almost two months ago. I have scheduled the quarterly to be completed as soon as possible. What else do I need to do? Q&A: Therapy picked up a resident for only three days. Do I need a Start of Therapy Assessment (SOT)? RAI Workflow Tool
Q&A: We learned that a resident was enrolled in a Managed Medicare plan prior to admitting to our facility after submitting admission assessments. Should assessments that were previously submitted? October Section N Changes: How to Prepare
MDS/Billing Hot Spots Part 2: Are You In Sync on These Two Issues? Consolidated Billing: Major Categories II – V
Q&A: Should I code a restraint in section P for a self-releasing seat belt or reclining chair? Q&A: After completing and submitting the admission/5-day, 14-day, and 30-day, we found out that the resident was enrolled in a managed care plan prior to admitting to our facility. Should I modify the Admission/PPS 5-day and inactivate the PPS 14-day?
Q&A: For section E coding, do I code resident behaviors that affect others including staff or only other residents?
Q&A: When a resident under traditional Medicare Part A is discharged to hospital (unplanned), is it necessary to combine an NPE with the OBRA discharge RA?
May 2017 Baseline Care Planning Tool Consolidated Billing: Tips for Understanding Major Category I
Guided by the MOON? Not a Good Idea
MDS/Billing Hot Spots Part 1: Six Areas Where You Need To Get In Sync
Q&A: Can the BIMS interview be administered in another manner than verbally and in writing?
Q&A: Are new therapy evaluations required after a readmission from an acute hospital stay? Q&A: When a Medicare A resident discharges home on the same day as admission, can we bill for this day?
SNF QRP: Color-Code MDS Items You Should Avoid Dashing
Standardized Assessment / Reporting: CMS Looks Beyond the SNF QRP QMs
Q&A: Is it ethical to have a Medicare Part A resident purchase and supply her own medications while on a skilled stay?
Q&A: If a resident wanders safely in a locked unit and the wandering is care planned, is it still coded on the MDS in section E0900? Q&A: Our facility has a Medicare Part A resident who qualified for RHA on the 5-day assessment, but the index maximized to a nursing RUG. Does this start the COT cycle? Q&A: When do I schedule the Part A PPS Discharge Assessment and the OBRA Discharge Assessment for a resident who discharged two days after the last covered day? April 2017 Are You Making These Common Signature Errors?
B0700 Coding Impacts Resident Voice
A CMS-State Collaboration: The New Dual-Eligibility Payment Model
Q&A: If a resident has wounds from lying on the floor for more than 24 hours after a fall at home, would the wounds be considered trauma or pressure ulcers? Q&A: I mistakenly submitted a 5-day assessment with an ARD on a skip day. Can I modify the assessment and change the ARD to the day after the skip day? Q&A: Our policy is to place all residents admitted with IV antibiotics on isolation due to possible infection, can I code isolation on the MDS if they do not have active signs and symptoms of an infection?
Q&A: Do I adjust the next COT checkpoint for a resident that went out on a LOA?
Polish Your Team's PASRR Skills
PEPPER Supports Quality and Compliance Activities
CMS moves closer to new IMPACT Act data elements
Q&A: Will Medicare Part B cover the Prevnar 13 vaccine if the resident has previously received the Pneumovax vaccine?
Q&A: Therapy ended before the COT checkpoint, but the last covered day of Medicare was the day after the checkpoint and an EOT was not completed. Was the COT still needed?
Q&A: Does the evaluation day of therapy, if no treatment is provided, count as a distinct day of therapy is section O?
Q&A: A resident discharged back to the hospital on day two of the Medicare A stay. Should I do a short-stay assessment? March 2017 Skilled or Not? Tool - REVISED
MDS/Billing Communication: Follow These Meeting Basics
Medicare Fraud Cases are Costing SNFs a Fortune: What’s Gone Wrong?
Medicare A: Key Steps to Determine Medicare A Skilled Care
Q&A: I missed setting a 14-day/COT seven days ago, can I still open the assessment? Q&A: Medicare Part A resident expired while at the ER, do I need to complete the PPS Part A Discharge Assessment?
Q&A: Therapy provided less than 15 minutes on one day, I know I cannot count the day, but do I still include the minutes in total minutes provided in the 7-day look-back?
Q&A: Can orders from a facility hired Certified Registered Nurse Practitioner or Physician Assistant be counted in Section O?
Q&A: I had heard, but cannot find in the RAI User’s Manual, that orders from a facility hired Certified Registered Nurse Practitioner (CRNP) or Physician Assistant (PA) cannot be counted in Section O (O0700 Physician Orders). Can you please clarify? IMPACT Act: CMS Fast-Tracks Transfer of Health Info QM
Changes You Should Expect on October 1, 2017
October 2016 SNF QRP FAQs: Read these Two on Section GG
Q&A: Can a resident receiving tube feeding qualify for a new Medicare benefit period? Q&A: Can I complete and sign for MDSs in another state? Q&A: Why is section GG showing up on an unplanned discharge to the acute hospital when combined with the 5-day assessment?
Q&A: Do I use CDC guidelines or RAI guidelines to code UTI on the MDS? February 2017 Medicare End of Stay, A2400C, and PPS Part A Discharge Assessment (NPE) Algorithm Tool
The Ins and Outs of the Part A PPS Discharge Assessment
How CASPER, the Friendly Tool, Can Help You Prepare for the MDS Focused Survey
Q&A: What happens with payment if a resident is discharged from therapies a few days before the family is able to make arrangements for the resident to return home?
Q&A: Is it a requirement to sign MDS interviews on the MDS on or before the ARD?
Q&A: What day do I use for the ARD for a Medicare Part A PPS Discharge Assessment?
Q&A: How should I code therapy minutes in section O if a resident only stayed in the facility for three days and did not have Medicare Part A or Part B?
The 2017 OIG Work Plan and What It Means for LTC
Section J Coding Tips Part 2: From Prognosis to Falls
Section GG Process Issues to Pay Attention to Now
Q&A: The physician ordered Trileptal for migraine headache. Can I code it as pain medication in section J?
Q&A: I have a COT that occurred after therapy ended. Was the COT still needed? Q&A: Our resident expired before the completion of a Significant Change assessment for hospice election. Do I need to complete the assessment? Q&A: Is the PPS Part A Discharge Assessment required when a resident discharges on day 3 of the Medicare stay?
January 2017 §483.21, Comprehensive Person-Centered Care Planning Tool
The Mega Rule Update: What it Means for You
Care Planning: Strategies for Operationalizing the CAAs
Section J Coding Tips Part 1: QM Items Take on New Urgency
Q&A: Our resident is requesting discharge on day 3 of the stay. Is this considered a planned or unplanned discharge?
Q&A: Can a Part P PPS Discharge Assessment replace the End of Therapy?
Q&A: How long do I keep the MDS Validation reports?
Q&A: How do I code self-performance for a stand-up lift?
Q&A: When a Medicare A resident is out over midnight for Christmas, how does this impact the PPS Schedule? Q&A: How should I code an unstageable pressure ulcer that has been debrided and is now reclassified as a stage 3?
Q&A: A resident left our facility for the hospital, but was not admitted until the following day. What day do I set my OBRA discharge assessment?
Q&A: We have a private pay/hospice resident with a planned discharge on day 9. What assessments do I need? 2016
December 2016 Part A 3-Day Hospital-7 Steps to Success IMPACT Act: New MDS Data Elements in the Works
Q&A: Do I code antifungal medications as antibiotics in section N? Q&A: A Medicare resident admitted and discharged back to the hospital at 3am. What assessments are needed? Q&A: Does a stay in a Long Term Acute Hospital count towards the qualifying stay for Medicare eligibility? Q&A: Do I have to code UTI if the infection originated prior to admission? Section G Coding Tool Section GG Discharge Goals: Basic Steps for Success
A Stress-Free Season: Taking a Holiday from the MDS
Glimpse the Future: CMS Previews Alternative SNF Payment Model
Why the Right Diagnosis/MS-DRG Makes the Difference for Skilled Nursing Facilities
Q&A: A resident fell after discharging home and was hospitalized for injuries from the fall but did not have a new 3-midnight stay. Does the 30-day window rule apply? Q&A: A resident uses a wheelchair at times, but not with therapy and will not use a wheelchair after discharge. Can I code no wheelchair is used in section GG? Q&A: If a resident will end therapy, but continue skilled coverage for a wound, when do I do the End of Medicare Stay assessment?
Q&A: What are the nursing documentation requirements for Part B therapy? November 2016 Five Things You Need to Know About the 3-Day Part A Hospital Stay
Four Steps to Prepare for Resident Assessment Regs in the Mega Rule
Preventing Burnout: Improving the Orientation Process for New NACs
Q&A: How do I code section GG if my resident doesn’t meet the goal, which is to walk a distance of 50 feet?
Q&A: If a residents falls during a seizure episode, is it coded as a fall? Q&A: I missed a PPS Part A discharge NPE from the beginning of October, what is the correct course of action?
Q&A: I’m confused, is a “short stay” when a resident is in the facility less than or equal to 8 days or 100 days? Care Planning Reg Changes: How NACs Can Survive the Mega Rule
Medicare Manual Updates for the NAC
Q&A: Is it true that CMS is rejecting assessments with "too many" dashes?
Q&A: Do I submit PPS Assessment when a resident has Medicare, but was in an automobile accident?
Q&A: Who should be responsible for coding discharge goals in the first three days upon admission, and when?
Q&A: For the new section GG if a resident comes in Friday by what day does the initial section GG need to be completed by?
October 2016 News from the Field: Major Challenges of Section GG
Q&A: When determining to code UTI on the MDS, what does significant laboratory findings mean?
Q&A: Can a resident change from an HMO to traditional Medicare right in the middle of their stay?
Q&A: I’m confused about the End of Medicare examples on page A-35 of the RAI manual. Can someone explain it to me?
Q&A: Should I code “walking” for an amputee in a wheelchair?
Q&A: What is the purpose of the section GG Discharge Goals?
Q&A: Where in the RAI Manual is the regulation for section GG Discharge Goals?
Q&A: How often do we need to complete the section GG observations after admission to establish the “usual performance”?
Q&A: How exactly will the 2% penalty that CMS has established be applied?
September 2016 Section GG Data Collection TooI II
CMS Cautions Providers Against Overuse of Unplanned Discharges
7 Steps to Get Ready for the RAI Changes ICD-10-CM Code Updates You Need to Know
Q&A: Beginning October 1, is section GG based on admission to Medicare date or the ARD date?
Q&A: How do we establish section GG goals?
Q&A: What documentation is required to support the coding in section GG?
Q&A: How many goals should we set for the resident in section GG?
MDS Coding Tips from CMS QRP Training Best Practices and Pitfalls of Interviewing for Pain
End-of-Life Care/Palliative Care and the NAC
Is It True You Don’t Use Social Media?
Q&A: If a resident can walk 150 feet without a device and walk 50 feet and make 2 turns without a device, would you make them attempt to wheel?
Q&A: For section GG, do we just pick 1 or 2 goals in that section of the MDS and dash the rest?
Q&A: How will section GG affect Medicare A residents who start their episode prior to 10/1/16, but discharge after?
August 2016 CMS Will Release Transition Document for Oct. 1 Changes
Coding Medicare Stay Dates and Discharges on PPS Discharge Assessments
Quality Measure Brain Twisters: What the New QMs Really Mean CMS and AANAC to the Rescue: Resources to Help NACs
Q&A: How do I establish Section GG care plan goals?
Q&A: Is Section GG required when a resident has an unplanned discharge?
Q&A: Is a narrative note required to support Section GG coding decisions?
Q&A: Should CNAs chart for Section GG?
FY 2017 SNF PPS Final Rule: CMS Adopts Drug Regimen Review SNF QRP QM
How to Write a Functional Goal for Section GG
Riding the QM Merry-Go-Round? Here’s How NACs Can Take Control
Q&A: Does the End of Med A Discharge Assessment replace the OBRA Discharge Assessment?
Q&A: If a resident stays only 2 days, do I have to complete section GG?
Q&A: On section GG, is the "usual performance" defined as what the person was like prior to hospitalization or when they enter the Rehab SNF?
Q&A: When do we have to complete section GG on the item set?
Q&A: Which dashed or missing assessments are used by CMS to penalize the facility by 2% of our payment rate? July 2016 Section GG Key Coding Questions and Answers Tool Section GG: Two IDT Process Issues NACs Need to Consider Now
July SNF QRP: Get a Grasp on MDS Based QMs
IMPACT Act Call: 4 Key Takeaways NACs Need to Know
Q&A: What are the 3 days for the GG lookback for functional status at discharge when combined with the ARD (A2300)?
Q&A: Who is the best person to code Section GG?
Q&A: How long does coverage last for a resident with stage 3 pressure ulcer with no potential for healing?
Q&A: Can a 30-day PPS assessment be done in order to avoid a COT?
Section GG Data Collection Tool Section GG: 3 Easy Mistakes Your IDT Should Never Make
Task Management: Buried Under MDSs? Schedule Yourself for Success
Section X: Solve the MDS Corrections Mystery
Q&A: If a resident misses 3 days of therapy and then resumes therapy on the 4th day, do I need to complete an EOT and a SOT?
Q&A: If there is only a 3 day B & B pattern, would you code yes or no on H0200A?
Q&A: How should the OBRA assessment be completed if a resident is discharged on day 6 of the 7 day look back period?
Q&A: If PT wishes to continue daily treatment upon admission, can OT place the resident "on hold" pending increased weight bearing status?
June 2016 Part A PPS Discharge Assessment: 5 Basic Steps to Prepare
What NACs Need to Know About Payroll-Based Journal
The Inevitability of ICD-10 Billing Challenges in Skilled Nursing Facilities
Q&A: Should a resident that goes off skilled therapies and then contracts c-diff resume skilled?
Q&A: If an MDS coordinator changes something coded by a CNA before submission, is this tracked?
Q&A: What is the best way to re-educate team members on the interview process and timelines?
Q&A: What assessments are required when a resident is discharged back to long-term care?
SNF Therapy Pitfalls: Four Clinical Practices to Avoid
How NACs Should Prepare for Five Star Now
How to Plan a Vacation as an MDS Coordinator
Q&A: When should a Medicare Part A assessment schedule start?
Q&A: Can OT place the resident "on hold" pending increased weight bearing status?
Q&A: How long do falls stay on the resident level quality measures?
Q&A: What happens if an EOT is submitted in error?
May 2016 CMS Answers Your Questions!
Big Changes Are Here, With More To Come!
Team Up to Tackle Five Star
Q&A: Is a SCSA required when a Medicare A resident improves?
Q&A: Is an EOT required?
Q&A: How long do I have to complete a SCSA?
Q&A: What constitutes a “physician prescribed weight gain”?
CMS Brings Clarity to Planned 2016 Changes With Released DRAFT of RAI User’s Manual FY 2017 SNF PPS Proposed Rule: What Does It Mean for NACs?
Medicare Advantage Residents: Section A Coding Miscues
Q&A: Can we use words other than “sock, blue, or bed”?
Q&A: Will Section GG be required for Medicare Advantage residents?
Q&A: How do skip days affect the COT count?
Q&A: What is the therapy start date following an EOT-R?
April 2016 Triple-Check Review Part 2: Fine-Tune the Process
MDS Section C: How to Prepare for Upcoming CAT Changes
Information Overload? Stick to These Basic CASPER Reports
Q&A: What assessment(s) are required when a resident admits and discharges on the same day?
Q&A: What is the HIPPS modifier?
Q&A: Do I include the resident’s Medicare number on the NOMNC?
Q&A: Can we cover a resident under Presumption of Coverage?
Where Does Clinical Documentation Improvement Fit into Skilled Nursing Facilities?
Upcoming Care Area Trigger Changes for Delirium and Cognition
The CJR Model: The Right Care at the Right Time Q&A: Is the EOT still required?
Q&A: Where can I code water flushes given through the feeding tube site?
Q&A: Do we complete PPS assessments when we are waiting to become certified?
Q&A: Can I code Total dependence if there are episodes of Activity did not occur?
March 2016 Section GG: Goodness Gracious!
Blowing the Whistle: Uncovering Fraud in Skilled Nursing Facilities
Inaccurate Section B Coding Can Hurt Care Planning Q&A: Is the COT required if the resident discharged? Q&A: Is an abdominal binder considered a restraint?
Q&A: How do I bill a missed or late assessment?
Q&A: If a resident is admitted on hospice and dies the next day, is a Significant Change in Status Assessment required?
Q&A: Can palliative care be skillable under Medicare Part A?
Q&A: How do I count medications received when a resident was admitted overnight?
Q&A: Do therapy minutes delivered on a skip day count?
Q&A: Can we complete the Staff Assessment if the interview was missed?
Understanding the Impact of the IMPACT Act Part 2: Operational Strategies to Prevent Falls With Major Injury
Why You Should Be Using PEPPER
SNF ODF Roundup: Mandatory Electronic Staffing Data Submission Coming Soon
February 2016 Q&A: Do I need to complete a Significant Correction of a Prior Comprehensive assessment?
Q&A: Can we code isolation if two residents are cohorted for influenza?
Q&A: Do I code limited assistance?
Q&A: Is a COT required if the ARD is on an LOA day?
MDS Section A: Pay Attention to These Basic Coding Issues (2/16)
The Importance of Corrections and Communication in Protecting Yourself From Risky Mistakes (2/16)
Q&A: Which beneficiary notice should we issue?
Q&A: What if we missed a Significant Change in Status when a resident went on hospice, and the resident expires?
Q&A: What do we do if we missed a Significant Change in Status for a resident?
Q&A: When does Medicare coverage officially end when a resident expires?
Freedom From Harm and a Culture of Safety (2/16)
IMPACT Act: Review Key Concepts and Dates (2/16)
Triple-Check Review Part 1: Start With These Basics (2/16)
2016 OBRA Scheduling Tool (2/16)
January 2016 Q&A: How is G0400, Functional Limitation in Range of Motion coded?
Q&A: How long do I need to keep validation reports?
Q&A: When do I code aftercare?
Q&A: How do Item Set Codes (ISCs) differ?
The Dark Side of Social Media: Protecting your Residents’ Privacy—and Dignity (1/16)
Anticoagulants: Pay Attention to These High-risk Meds (1/16)
Get It Right the First Time: Beneficiary Notices (1/16)