The session will address: Don’t Trust the EHR – How to Use the ICD-10 Book (Proper use of the tabular list and index, coding rules at each section, digits required, etc.) CMS Coding Guidelines and the Need for Specificity Selecting the Principal DiagnosisοCoding for Injuries (7th character definitions) Using...

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ShowMeVax – https://health.mo.gov/living/wellness/immunizations/showmevax/ Missouri’s immunization registry, ShowMeVax, offers healthcare professionals, schools, and child care organizations a one-stop shop for tracking an individual’s immunization history and status and allows providers to monitor vaccine inventory.

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Part 2 (Join us even if you missed Part 1) Making a Night and Day Difference: Creating a Culture of Restorative Sleep Empira, a consortium of Aging Service providers in Minnesota, will share the findings from their Restorative Sleep program that has made a night and day difference for...

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IN THIS ISSUE Wanted: RN Coverage The Revolving Door of MO Nursing Home Administrators CPR – Let’s Do It or NOT Alzheimer’s and Dementia Resources for Infection Control Caring for a Resident with a Pacemaker Committees? Tasks? Click HERE for the newsletter! August 2018

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Resident Survival Low After Cardiac Arrest in Nursing Homes – Caring for the Ages By Brian Ellis | June 1, 2018 At 30 days, survival after out-of-hospital cardiac arrest (OHCA) was 1.7% among nursing home residents, although those who received resuscitation efforts had an increased likelihood of survival, according...

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The most common condition physician and practitioners encounter in potentially avoidable hospitalizations in the nursing facility is infection. Pneumonia, UTIs, and cellulitis are often treated safely and effectively in the nursing facility, which provides for a better patient experience, decreased risk of hospital iatrogenic complications, and lower costs. by...

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You’re invited to attend the MU Enhanced Leadership Development Academy for Long Term Care that will build the skills you need to lead a high performing team! In addition to the 50 CE credits you’ll earn, you will gain knowledge that you can immediately apply to your work setting....

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Transition to Payroll-Based Journal (PBJ) Staffing Measures on the Nursing Home Compare tool on Medicare.gov and the Five Star Quality Rating System Memo # 18-17-NH Posting Date 2018-04-06 Fiscal Year 2018 Summary Transition to Payroll-Based Journal (PBJ) Data – Starting in April, 2018, CMS will use PBJ data to...

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Center for Medicare Advocacy With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare nursing home beneficiaries and their families respond to unfair Medicare denials based on an erroneous “Improvement Standard.” The Fact Sheet emphasizes language from the...

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Quality Improvement Team Development is one part of the Performance Management Series. The work of a QI project is accomplished by a team of individuals, which is known as a QI Team. The purpose of the team is to design, manage, and monitor performance improvement activities to achieve the...

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CDC Report on Antibiotic Resistance CDC’s most recent Vital Signs report highlights the importance of rapid identification of new or rare resistance. This is the critical first step in CDC’s Containment Strategy to stop the spread of antibiotic resistance (AR). Once AR spreads, it is harder to control. Finding...

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Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) This article informs you about Change Request (CR) 10567, which advises you that the Centers for Medicare & Medicaid Services (CMS) has revised the Skilled Nursing Facility Notice of Non-coverage (SNF ABN), Form CMS-10055. With this revision, CMS is...

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Yesterday (2/28/18), the Centers for Medicare & Medicaid Services (CMS) changed the survey domain methodology of the Five-Star rating system. In the previous methodology, CMS used a center’s most recent three survey cycles in calculating the survey rating. In the updated methodology, CMS will use the most recent two...

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Newly Revised Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNFABN) CMS is releasing a newly revised SNFABN along with newly developed, concise and separate instructions for form completion. The revised SNFABN has the requirements for the denial letters and looks very similar to the ABN with 3 different...

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CMS has posted an updated Q and A regarding the new survey process. The wording in the red font is new. You can find it here! Updated 2/6/18

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CMS has extended the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) deadlines for the calendar year (CY) 2017. Minimum Data Set (MDS) assessment data for January-December (Q1-Q4) of CY 2017 are due May 15, 2018. However, providers are encouraged to verify their MDS submissions on at least a...

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A calculation error has been identified for the three assessment-based quality measures reported on the SNF QRP Facility- and Resident-Level QM report and the SNF QRP Review and Correct reports (NQF #0678, NQF #0674, and NQF #2631). Duplicate stays and invalid admission dates can appear on these reports. View...

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CMS’s Targeted Probe and Educate (TPE) program is designed to help providers and suppliers reduce claim denials and appeals through one-on-one help. The goal: to help you quickly improve. Medicare Administrative Contractors (MACs) work with you, in person, to identify errors and help you correct them. Many common errors...

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Here you will find an updated scope and severity grid. Updated 1/18/18.

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