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CMS posts much anticipated MDS 3.0 RAI Manual v1.17

On Monday, May 20, the Centers for Medicare & Medicaid Services (CMS) posted the MDS 3.0 RAI Manual, v1.17, containing many of the requirements that providers will need to follow to prepare for the Patient-Driven Payment Model (PDPM) effective October 1, 2019. New changes will be reflected in HCPro’s MDS 3.0 RAI User’s Manual. The […]

HHS, in partnership with industry, releases voluntary cybersecurity practices for the health industry

On Friday, December 28, the Department of Health and Human Services (HHS) released the “Health Industry Cybersecurity Practices (HICP): Managing Threats and Protecting Patients” publication. The four-volume publication aims to provide voluntary cybersecurity practices to healthcare organizations of all types and sizes, ranging from local clinics to large hospital systems. The industry-led effort was in […]

Senior living facilities provides Alexa to all residents

In an effort to empower residents, Eskaton Village Roseville in Sacramento, CA, has provided every resident with the Alexa Echo smartphone device. Residents can use the device to play music, turn on lights, games, an entertainment, all by voice. “Eskaton’s expansion into voice is a testament to this organization’s track record and continued commitment to […]

EPA’s final rule on pharmaceutical waste material effective August 21

The EPA published its final rule, Management Standards for Hazardous Pharmaceuticals, earlier this year—giving healthcare facilities, including long-term care facilities, just a handful of months to comply with the rule, which goes into effect August 21, 2019. In the final rule, the EPA has revised its definition of a long-term care facility (LTCF) to be […]

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Quarterly OASIS Q&As offer detail on wound coding

CMS in its latest quarterly OASIS Q&As provided agencies with details about how to code a specific wound scenario. In Question 1 of the April Q&As, one agency asked CMS about a patient admitted with two distinct areas caused by pressure. Notes the agency: “A wound on the left buttock presents with purple localized discolored […]

Educate clinicians about M1820, an item affecting functional points under PDGM

Source: Home Health Line Ensure clinicians have proper training about how to respond to the OASIS-D item involving patients’ ability to dress their lower body safely. M1820 (Ability to dress lower body) is one of six OASIS items that affect functional case-mix adjustment under the PPS, and it will be one of eight items that […]

Revised guidelines for determining immediate jeopardy

Appendix Q, Core Guidelines for Determining Immediate Jeopardy, has been revised. Immediate Jeopardy (IJ) represents a situation in which entity noncompliance has placed the health and safety of recipients in its care at risk for serious injury, serious harm, serious impairment or death, according to CMS. Training for surveyors and non-surveyors on the revised Appendix […]

EPA’s final rule on pharmaceutical waste material effective August 21

The EPA published its final rule, Management Standards for Hazardous Pharmaceuticals, earlier this year—giving healthcare facilities, including long-term care facilities, just a handful of months to comply with the rule, which goes into effect August 21, 2019. In the final rule, the EPA has revised its definition of a long-term care facility (LTCF) to be […]

Ask the expert: Medicare Part A coverage for a PEG tube

Q: I have a patient that has 100 days of Medicare Part A and a percutaneous endoscopic gastrostomy (PEG) tube—the primary source of nutrition—in place since 2008 due to laryngeal cancer. All rehab therapy is discontinuing in three days. Can I continue Medicare Part A, related to the PEG tube? A: As long as 26% […]

Intake and output monitoring

You should monitor residents who have fluid imbalances or are at high risk of dehydration by calculating intake and output (I&O) each shift.