Eli's MDS Alert

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Big Changes, Big Challenges In Store with 2018 RAI Manual, PDPM, and More

Other than a 2.4 percent pay rate increase, the new final rule, as announced by the Centers for Medicare and Medicaid Services (CMS) in July 2018, carries major implications for your skilled nursing facility.

The latest RAI Manual interpretations and guidance may have you worried about how to best deliver and document care. Remember, too, that the final rule revises the regulation text describing a beneficiary’s SNF ‘resident’ status under the consolidated billing provision and the required content of the SNF level of care certification.

Nurse assessment coordinators (NACs) are responsible for navigating the coding system of the MDS so their facilities get paid. Going forward, the additional responsibility of better fluency in ICD-10 coding is going to become even more important for NACs. With the arrival of the Patient-Driven Payment Model (PDPM), nursing facilities and staff must be ready to adjust documentation and even clinical practices to shore up crucial reimbursement.

Is your team ready? Do you have a good handle on the nursing function score? Are you set to master the nursing categories and begin refining processes to collect the nursing information? Are your communication and documentation workflows watertight? Could you use help?

Don’t go it alone. Keep pace with MDS updates and regulatory changes. Leverage vital monthly guidance to ensure your facility runs smoothly, efficiently, and profitably with your risk-free subscription to Eli’s MDS Alert.

Rely on Eli’s MDS Alert. For 16 years, post-acute providers have trusted our experts to teach them everything they need to know to manage high-quality, compliant, and profitable facilities.

Every month, we deliver timely and relevant guidance and practical solutions in articles such as:

  • CMS Publishes Proposed Rule Affecting SNFs EPPs
  • Understand the Language Changes in Section M
  • Alexa May Be Helpful, But Don't Roll Out the Welcome Mat Just Yet
  • 2018 RAI Manual: Note These Important Changes
  • With PDPM, ICD-10 Takes on Increased Significance
  • Reevaluate Your Facility's Adherence to ADA Requirements for Deafness
  • Understand Drug Regimen Review Expansions
  • Brush Up On ICD-10 Coding Know-How

PLUS — As an Eli’s MDS Alert subscriber, you get best-in-class coding resources at no extra cost:

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Gain instant access to a keyword-searchable database on SuperCoder.com, where you can look up and review more than 174 archived issues of Eli’s MDS Alert — a $199 value!

Who should subscribe to Eli’s MDS Alert:

  • Director of Nursing
  • Social service personnel
  • MDS coordinator
  • Pharmacy representative
  • Restorative nurse
  • Care plan team


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