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CMS came through and posted the updates for the October 1, 2017, RAI manual, allowing us at AANAC some time to take a quick look, briefly summarize the MDS changes heading our way, take a deep breath, enjoy the holiday, and then provide our members with an in-depth article in next week’s LTC Leader (September 7). And I would be remiss if I did not mention keeping folks in Texas and Louisiana in our thoughts and prayers.
The updated RAI Manual for Oct. 1, 2017, implementation, including change tables.
Information for Texas and Louisiana about SNF Medicare Part A coverage in the Hurricane Harvey emergency.
Survey preparation materials, updated on 8/29/2017 following their initial release.
The Centers for Medicare & Medicaid Services (CMS) reminds the Medicare community of the Jimmo Settlement Agreement (January 2013), which clarified that the Medicare program covers skilled nursing care and skilled therapy services under Medicare’s skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary needs skilled care in order to maintain function or to prevent or slow decline or deterioration (provided all other coverage criteria are met). Specifically, the Jimmo Settlement required manual revisions to restate a “maintenance coverage standard” for both skilled nursing and therapy services.
This table presents information to understand the reporting requirements for the assessment based quality measures that are included in the Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) for FY 2019. This table provides details for each MDS item and assessment type, allowable item values when coding for the 3 assessment based quality measures, Falls with Major Injury, Pressure Ulcers New or Worsened, and Functional Assessment and Care Plan.
The American Association of Nurse Assessment Coordination, in collaboration with sister organization the American Association of Directors of Nursing Services, submitted comments on the CMS document “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology” (CMS-1686-ANPRM).
AANAC and AADNS responded with comments on PT, OT, and SLP Minute Requirements; ADL Functional Score for PT/OT; Clinical Categories for PT and OT Utilizing I8000 on the MDS; PT/OT Clinical Categories Crosswalk; Cognitive Performance Scale; Interrupted Stay Policy; and Elimination of Unscheduled OMRA and PPS Assessments. See the full comments below
CMS has identified two issues with the SNF Review and Correct Report.
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