Many providers have have cohorted residents in the same isolation room – applying recent CMS and CDC guidance during the COVID-19 emergency. This cohorting leaves many providers with the question: Can we code isolation on the MDS for cohorted residents? These facilities recognize that coding isolation will result in higher reimbursement in the PDPM, State…

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When the President and HHS Secretary declared a national health emergency in response to the COVID-19 pandemic, they triggered section 1135 of the Social Security Act.  Section 1135 allows the Secretary to temporarily waive or modify certain Medicare and Medicaid requirements to ensure sufficient health care for enrollees. Skilled Nursing Facilities (SNFs) were issued multiple…

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Every April a Proposed PPS Final Rule is put forth by CMS. The proposed rule this year (2020) would update the SNF prospective payment rates for fiscal year (FY)2021 as required under the Social Security Act. CMS recognizes that the entire healthcare system is focused on responding to the COVID-19 public health emergency. As a…

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The COVID-19 pandemic has highlighted the need for skilled nursing facilities to have an effective Emergency Preparedness Plan – one that includes sheltering-in-place. The Centers for Medicare and Medicaid Final Rule requires that participating providers have an active Emergency Preparedness Plan. With reimbursement payments, accreditation status, and liability exposures all on the line, long-term care…

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COVID-19 (coronavirus) Tools In this difficult time, MDS Consultants is here for you with reimbursement guidance and can help with MDS completions when needed. Our team keeps an up-to-date list of links and resources at https://mds-consultants.com/helpful-cms-info/  COVID-19 (coronavirus) Updates Novel Coronavirus 2019, or COVID-19, is causing a crisis in our healthcare system. Do not let…

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It’s a bit odd that when asked what you do for a living most MDS coordinators struggle to come up with an answer. Who struggles to explain what they do every day? The reality is that MDS coordinators fully understand what this multifaceted job entails but are at a loss how to put it into…

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We’ve compiled a list of helpful QAPI resources from CMS as well as other organizations and experts. CMS Regulations & News Nursing Home Quality Assurance & Performance Improvement (QAPI) QAPI News Brief – Volume 1 QAPI News Brief – Volume 2 SNF Quality Reporting Program (IMPACT Act of 2014) Nursing Home Quality Initiative Patient Protection…

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QAPI will soon be in the spotlight.  All skilled nursing facilities, by November 28 of this year, must have their QAPI plan ready to provide to the Annual Survey.  For those who don’t have their plan in place, here is a quick QAPI primer.   What Is QAPI? QAPI stands for Quality Assurance / Performance Improvement. …

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We all know that a lot of time, energy and effort go into completing an MDS.  But how many hours should you really be spending?   Factors to Consider in Calculating MDS Staffing Time What is your average LTC census per year? What is your average Rehab Census per year? What is your average LOS…

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