By Caralyn Davis, Staff Writer – March 2, 2021   Full article available to Members at https://www.aanac.org/ “CMS has been concerned about medication-related adverse events for many years. Identifying potential and actual clinically significant medication issues, communicating those issues to the physician, and then implementing physician-prescribed or physician-recommended interventions in a timely manner—at admission and throughout…

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One of the requirements of payment is a valid Physicians Certification for Medicare part A services. If SNF certifications and re-certifications are not completed and signed following CMS regulations, then the facility is at risk of losing payment for an entire claim period. Is your facility compliant with Physicians’ certifications for Medicare services? According to…

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The transition from Nursing Home Compare to Care Compare and unexpected Five Star Quality Rating updates brought disappointment to some Skilled Nursing Facilities. Due to the public health emergency (PHE), the rating system’s three domains had previously been held constant.  Centers for Medicare and Medicaid Services (CMS) announced that the Five Star Quality Rating system…

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The Centers for Medicare & Medicaid Services (CMS) recently released the October 2020 version of the Five-Star Quality Measure System Technical Users’ Guide. It includes several revisions and updates for the Staffing, Quality Measure, and Health Inspection ratings in response to the Public Health Emergency (PHE). Health Inspection Since the Nursing Home Compare (NHC) refresh…

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Some skilled nursing facilities (SNFs) are concerned about accurate payment when a resident unexpectedly discharges and the Brief Interview for Mental Status (BIMS) has not yet been completed. However, they should be just as concerned about the PHQ-9. The PHQ-9 identifies depressive symptoms to be captured on the MDS. The interview follows the same basic…

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