Skilled Documentation to Support PDPM

Reading and Using the PEPPER Report

Reading and Using the PEPPER Report Stephanie Kessler Partner, Senior Living Services Consulting Group PANAC Webinar September 25, 2014

  Using, Report, Reading, Peppers, Reading and using the pepper report

Changes in the CMI Report Process and Updates …

2 Nursing Facility Report Portal • No longer able to use facility folders on the CMS MDS Welcome Page to securely provide CMI Reports • New NFRP server

  Report, Update, Process, Welcome, Cmi report process and updates

RAI Spotlight

Section M Questions and Answers In addition, a question was asked as to whether wound care done by a surgeon, physical therapist, etc. should be coded on the MDS in Section M.

  Spotlight

Quality Measures and the Five-Star Quality Rating System

1 Quality Measures and the Five-Star Quality Rating System The Pennsylvania Association of Nurse Assessment Coordinators Presented by R i l K t L h LLPReinsel Kuntz Lesher LLP

  System, Quality, Measure, Star, Ratings, Five, Quality measures and the five star quality rating system

ICD-10-CM AND THE PDPM - paanac.net

ICD-10-CM AND THE PDPM Other mistakes often made selecting ICD-10-CM codes in the SNF Using multiple single codes when a one i.e. a “combination code”, will do (acute on chronic codes) e.g. acute on chronic heart failure Using hospital based diagnoses without having the current provider reviewing

SNF PPS: RUG-IV Categories and Characteristics

CMS’s RAI Version 3.0 Manual CH 3: MDS Items [G] October 2014 Page G-8 G0110: Activities of Daily Living (ADL) Assistance (cont.) ADL Self-Performance Algorithm START HERE – Remember to review the instructions for the Rule of 3 and the ADL Self-

  Characteristics, Categories, Rug iv categories and characteristics

SNF PPS: Patient Driven Payment Model

• RUG-IV classifies patients into a therapy RUG, based on how much therapy the patient receives, and a non-therapy RUG, based on certain patient characteristics: • Only one of these RUGs is used for payment purposes • Therapy RUGs are used to bill for over 90% of Part A days

CHAPTER 6: MEDICARE SKILLED NURSING FACILITY …

CMS’s RAI Version 2.0 Manual CH 6: Medicare SNF PPS Revised—November 2005, December 2002 Page 6-2 The MDS assessment data is used to calculate the RUG-III Classification necessary for payment. The MDS contains extensive information on the resident’s nursing needs, ADL impairments, cognitive status, behavioral problems, and medical diagnoses.

What is an ADL Score

May 04, 2021 · -, 0, 1, or 8 2 or 3 -, 0, or 1 2 or 3 2 or 3 0 2 2 3 3 The total ADL score is a very important component of the RUG categories and is calculated from the seven days immediately preceding and including the date of the assessment. Changes, including improvements and declines in function that have occurred since the assessment dates are not ...

Technical Users’ Guide - HHS.gov

Dec 31, 2019 · Minimum Data Set, Version 3.0 (MDS 3.0) assessments, and are case-mix adjusted based on the distribution of MDS 3.0 assessments by Resource Utilization Groups, version IV (RUG-IV group). In addition to the overall staffing rating, a separate rating for RN staffing is also reported. •

  Data, Minimum, Minimum data set, Mds 3