AADNS News Feed

Sorting through all that is happening in LTC and then figuring out just what you need to know can be a daunting task. Luckily, we’re here to help. Our nursing experts scour through mountains of information to identify the breaking news and important updates and changes that you need to know today. Find the latest on important topics with links to resources, websites, and tools to keep you up-to date.

  • August 13 - 14 SNF QRP Training Slides Available

    By CMS - August 12, 2019
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  • 2020 ICD-10-CM Diagnosis Code Files and Coding Guidelines (8/19)

    By CMS - August 12, 2019
    The 2020 ICD-10-CM files  contain information on the ICD-10-CM updates for FY 2020. These 2020 ICD-10-CM codes are to be used for discharges occurring from October 1, 2019 through September 30, 2020 and for patient encounters occurring from October 1, 2019 through September 30, 2020. This also contains the official ICD-10 Coding Guidelines.
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  • Optimize the Infection Preventionist’s QAPI/QAA Role

    By Caralyn Davis, Staff Writer - August 07, 2019

    Effective November 28, at least one designated infection preventionist who meets specific education, training, and time requirements must be responsible for the infection prevention and control program in every Medicare- and/or Medicaid-certified skilled nursing facility/nursing facility (SNF/NF). One of those responsibilities is to be a member of the quality assessment and assurance (QAA) committee and to regularly report to the committee about the infection prevention and control program.

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  • Is Your Team on Track With Behavioral Health?

    By Caralyn Davis, Staff Writer - August 07, 2019

    The underlying requirement in §483.40 of the Code of Federal Regulations (CFR) for F740 (Behavioral Health Services) feeds into multiple facets of the care process—and multiple additional F-tags:

    Each resident must receive and the facility must provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. Behavioral health encompasses a resident’s whole emotional and mental well-being, which includes, but is not limited to, the prevention and treatment of mental and substance use disorders.


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  • State Operations Manual: Revisions to Appendix Q, Guidance on Immediate Jeopardy (8/19)

    By CMS - August 05, 2019
    Appendix Q to the State Operations Manual (SOM), which provides guidance for identifying immediate jeopardy, has been revised. The revision creates a Core Appendix Q that will be used by surveyors of all provider and supplier types in determining when to cite immediate jeopardy. CMS has drafted subparts to Appendix Q that focus on immediate jeopardy concerns occurring in nursing homes and clinical laboratories since those provider types have specific policies related to immediate jeopardy.Appendix Q has been revised to reinsert language referring criminal acts to local law enforcement.
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  • SNF QRP Takes Center-Stage in FY 2020 SNF PPS Final Rule

    By Caralyn Davis, Staff Writer - August 02, 2019

    The Fiscal Year (FY) 2020 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule updates the fee-for-service Medicare Part A payment rates using the new Patient-Driven Payment Model (PDPM) case-mix classification system effective October 1, 2019. On the payment side, the Centers for Medicare & Medicaid Services (CMS) made multiple small corrections, ranging from adjusting the market basket update to correcting the wage-index file. 

    However, the biggest changes that CMS finalized involve new MDS data submission requirements for Standardized Patient Assessment Data Elements (SPADEs) under the Skilled Nursing Facility Quality Reporting Program (SNF QRP) that will go into effect on October 1, 2020—just one year after PDPM implementation. But the changes don’t stop there. Directors of nursing services (DNSs) also need to prepare for a few PDPM policy revisions and updates to the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program. 

    Here are the highlights of the FY 2020 SNF PPS Final Rule that DNSs need to know about.

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  • CMS Podcast Targets Nursing Homes in Multi-Part Series (8/19)

    By CMS - August 01, 2019

    Nursing Home Strategy Part 1 – Strengthening Oversight

    The Centers for Medicare and Medicaid Services (CMS) posted the 5th episode of the CMS: Beyond the Policy podcast which focuses on the first of the CMS’s 5-pronged strategy on strengthening oversight in nursing homes. This podcast features CMS Administrator Seema Verma, Dr. Kate Goodrich, CMS Chief Medical Officer and Director of our Center for Clinical Standards and Quality and Matt Hittle, Senior Adviser for Administrator Seema Verma discussing CMS’s efforts regarding nursing home oversight.

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  • SNF QRP: SPADEs and New QMs That Begin Data Collection on Oct. 1, 2020

    By MX - August 01, 2019

    Change tables, MDS mockups, and data specifications.

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  • FY 2020 SNF PPS Final Rule Link and Fact Sheet (7/19)

    By CMS - July 30, 2019

    The Centers for Medicare & Medicaid Services (CMS) issued a final rule [CMS-1718-F] for Fiscal Year (FY) 2020 Medicare payment rates and quality programs for skilled nursing facilities (SNFs). This final rule is part of the agency’s continuing efforts to strengthen the Medicare program by better aligning payment rates for these facilities with the costs of providing care and increasing transparency so that patients are able to make informed choices. The final rule [CMS-1718-F] can be downloaded from the Federal Register at: https://www.federalregister.gov/documents/2019/08/07/2019-16485/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities.


    This fact sheet discusses three major provisions of the final rule:

    ·        SNF payment policy under the SNF Prospective Payment System (PPS)

    ·        SNF Value-Based Purchasing Program (VBP)

    ·        SNF Quality Reporting Program (QRP). 

    This final rule includes policies that continue to move forward agency commitments to shift Medicare payments from volume to value, with the continued implementation of the SNF VBP and SNF QRP to improve program interoperability, operational quality and safety.

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  • Updated CDC Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings (7/19)

    By CDC - July 29, 2019
    Please note that nursing homes are one of the applicable healthcare settings listed by the CDC.
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  • August 27 Understanding Your SNF VBP Program Performance Score Report Call: Register Now

    By CMS - July 29, 2019

    During this call, learn about your Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program Performance Score Report. CMS experts present a high level summary of the program and highlight the payment year 1 results (FY 2019 program year).

    A question and answer session follows the presentation; however attendees may email questions in advance to SNFVBP@rti.org with "SNF VBP Aug 27 NPC" in the subject line. These questions may be addressed during the call or used for other materials following the call.

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  • CMS May 7 and 8, 2019, SNF QRP Post-Training Videos and Slide Sets Available (7/19)

    By CMS - July 29, 2019

    Videos and post-training materials (includes answers to knowledge checks and interactive sessions) from the May 2019 Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Provider Training held in Kansas City, MO, on May 7 and 8, 2019, are now available.

    Please note: Post-training materials include answers to knowledge checks and interactive sessions. Additionally, Section GG presentation has been updated to include links to videos shown during the training.

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  • Calendar 2020 Medicare Physician Fee Schedule Proposed Rule Tackles Part B Payment Including Therapy (7/19)

    By CMS - July 29, 2019

    Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020

    On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2020.

    The calendar year (CY) 2020 PFS proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a healthcare system that results in better accessibility, quality, affordability, empowerment, and innovation.

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  • Sept. 10 Dementia Care: Supporting Comfort and Resident Preferences Call: Register Now (7/19)

    By CMS - July 27, 2019
    During this call, gain insight on approaches to care for residents living with dementia that focus on resident preferences, maintaining comfort, and assisting with unmet needs. Additionally, CMS provides updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.
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  • Advice for New Directors of Nursing

    By AADNS - July 23, 2019

    Your facility needed a new director of nursing (DON), so you stepped up to the plate to give it your best shot. You went through the selection process, feel confident in your leadership skills, and are ready to lead a team to success.

    But you have a small confession to make: you’re not sure where to start!

    Being a new DON can be challenging, so here is some advice to get you going.

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