Scheduled to take effect January 1, 2025, National Healthcare Safety Network (NHSN) plans to make permanent more time-consuming data collection from SNFs. Although Centers for Medicare & Medicaid Services (CMS) has proposed a boost of 1.3% in 2025 Medicare payments to skilled nursing facilities, that same proposed home health pay rule will also make permanent…
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Significant Revisions to Enhance Quality and Oversight of the LTC Survey Process – Summary of Revised Surveyor Guidance – Admission, Transfer, and Discharge: Chemical Restraints/Unnecessary Psychotropic Medication: Professional Standards and Medical Director: Accuracy/Coordination/Certification: Other areas of change include: Coretactics recommends you review of the QSO memo for complete details. An Advance copy of Appendix PP and the…
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NYS Nursing Home CMI Project – Due to recent federal changes to the MDS 3.0, Resource Utilization Group (RUG) based case mix adjustment is no longer feasible. The NYS Department of Health (NYSDOH) held an initial briefing on October 30, 2024 to discuss that change. The consulting firm, Myers and Stauffer has been contracted by…
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Although a bed rail is not a QM consideration, it is a potentially serious survey issue under entrapment and quality of life. A facility must attempt to use appropriate alternatives prior to installing a side or bed rail and have this clearly documented. If a bedside rail is used, the facility must ensure the correct installation, use…
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With the recent July 2024 refresh to Care Compare, CMS has changed the staffing case mix adjustment to a model based on the PDPM, essentially using the nursing case mix groups to adjust for acuity. Other important changes include: The gap period used in defining termed staff has increased from 60 days to 90 days…
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