LINKS

CMS NURSING HOMES GUIDANCE TO LAWS AND REGULATIONS - NURSING HOMES

https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Nursing-Homes.html

CMS Internet Only Manuals

http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs.html

MDS Manuals

http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html

CMS Skilled Nursing Facility

http://www.cms.gov/Center/Provider-Type/Skilled-Nursing-Facility-Center.html

CMS Survey and Certification Memo

http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions.html

Pennsylvania Department of Health Regulations

http://www.health.pa.gov/facilities/Consumers/Health%20Facilities/Nursing%20Homes/Nursing%20Homes/Pages/Long-Term-Care-Licensure-Regulations.aspx#.VX3TJWnbI5s

Pennsylvania Department of Human Services - Long Term Care

http://www.dhs.state.pa.us/provider/doingbusinesswithdhs/longtermcarecasemixinformation/index.htm

TMF - PEPPER Reports

http://www.pepperresources.org/

CMS SNF Quality Measures

http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html

PATIENT DRIVEN PAYMENT MODEL (PDPM)

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/therapyresearch.html

SKILLED NURSING FACILITY QUALITY REPORTING MEASURES

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Measures-and-Technical-Information.html



TOOLS AND TIPS

Admission and Discharge Assessments.pdf

Medical Record and ADR PANAC.pdf

QM Long Stay Antipsychotics.pdf

Mutifactoral Approach to Falls in the Elderly algorithm.pdf

Medicare Skilled coverage..pdf

medicareadvocacy.org-Practice Tip Orders Needed for Maintenance Skilled Care.pdf

OM_EndingCareAppeal_Chart.pdf

snf-notices-of-non-coverage.pdf

core-elements-antibiotic-stewardship-checklist (2).pdf

Change_Package QIO_20170511_508.pdf

Medicare Triple Check Worksheet PEPPER.pdf

Medicare Beneficiary Notice Tip Sheet.pdf

Pressure Ulcer Tracking tool AE.xls

AE_PainManagementTrackingTool_v3.0_2-11-13.xls

AE_PainManagementTrackingToolINSTRUCTIONS_2-15-13[1].pdf

AE_PressureUlcerTRACKINGTOOL_V3.1_10-27-12.xls

AE_PressureUlcerToolINSTRUCTIONS_10-27-12[1].pdf

AE_SafelyReduceHospitalizationsTrackingTool_v2.0_2-5-13.xls

AE_SafelyReduceHospitalizationsINSTRUCTIONS_1-15-13[1].pdf

Antipsychotic_Tool[1].pdf

Fall Risk Assessment Form.pdf

MDS and Respiratory Therapy.pdf



PASRR

PASRR 9 1 18.pdf

PASRR II 9 1 18.pdf

PASRR clarifications.pdf

PASRR FAQ.pdf


SECTION S UPDATE EFFECTIVE 10/1/2017

PA Section S Effective 10.01.2017.pdf


REVISED STATE OPERATIONS MANUAL 11/22/17

https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Nursing-Homes.html

Advance-Appendix-PP-Including-Phase-2-.pdf

SOM Draft 11 10 16 Survey-and-Cert-Letter-17-07.pdf

List-of-Revised-FTags.pdf

Entrance Conference Form.pdf

Matrix with Instructions.pdf


PATIENT DRIVEN PAYMENT MODEL (PDPM)

PDPM_Technical_Report_508-1.pdf

PDPM Fed Reg 2018-09015-1highlighted.pdf

PDPM_FAQs_vf.pdf

PDPM_Grouper_Tool.xlsx

PDPM_Grouper_Tool_Grouper.csv

PDPM_Grouper_Tool_HIPPS.csv

PDPM_Grouper_Tool_Instructions.csv

PDPM_Grouper_Tool_NTA.csv

PDPM_Grouper_Tool_Nursing.csv

PDPM_Grouper_Tool_OT.csv

PDPM_Grouper_Tool_Overview.csv

PDPM_Grouper_Tool_PT.csv

PDPM_Grouper_Tool_RUG_IV.csv

PDPM_Grouper_Tool_SLP.csv

PDPM_NTA_Comorbidity_ICD_10_Mapping_508.csv

PDPM_NTA_Comorbidity_ICD_10_Mapping_508.xlsx

PDPM_NTA_Comorbidity_ICD_10_Mapping_Overview_508.csv

PDPMClinicalCategoryMapping.xlsx

PDPMClinicalCategoryMapping-ClinicalCategroybyDx.csv

PDPMClinicalCategoryMapping-Instructions.csv

PDPMClinicalCategoryMapping-NonOrthoSurgery.csv

PDPMClinicalCategoryMapping-OrthoSurgery.csv

PDPMClinicalCategoryMapping-Overview.csv

PDPM-Grouping-Tool-Help-Document_final.pdf



JIMMO VS SIBELIUS - REHAB SERVICES FOR LTC RESIDENTS

MM8458 Jimmo V Sibelius 12 6 13.pdf

R175BP Jimmo v Sibelius 12 6 13.pdf

CFR-2011-title42-vol2-sec409-32.pdf

 

HOSPICE 

Hospice SNF contract requirements Federal Regiter 2013.pdf

 

PEPPER REPORTS

SNF_PEPPER_training_2013.pdf

SNFPEPPERUsersGuide_Edition1.pdf

LTPEPPERUsersGuide_Edition7.pdf

 

STAFF AND MDS FOCUSED SURVEY 

MDS Focused Survey (00099058).PDF

MDS Focused Review Survey-and-Cert-Letter-15-25[1].pdf

MDS Focused Review Survey-and-Cert-Letter-15-06[1].pdf

MDS Focused Review Survey-and-Cert-Letter-14-22[1].pdf

MDS Focused Survey worksheet.pdf

 

QUALITY MEASURES 

MDS-30-QM-Users-Manual-V70[1].pdf

MDS-30-QM-Users-Manual-V60[1].pdf

MDS30-QM-UsersManual-ErrataVersion50[1].pdf

MDS30QM-Manual[1].pdf

Final-MDS-30-Data-Set-Version-1160-Change-Table-Effective-October-1-2018.pdf

Risk-Adjustment-Appendix-File-for-SNF-Measure-Calculations-and-Reporting-Users-Manual-V20.xlsx


SNF/QRP

SNF-QRP-Table-for-Reporting-Assessment-Based-Measures-for-the-FY-2020-SNF-QRP-APU.pdf

SNF-Measure-Calculations-and-Reporting-Users-Manual-V20-Change-Table.pdf

SNF-QRP-Table-for-Reporting-Assessment-Based-Measures-for-the-FY-2020-SNF-QRP-APU(2).pdf

SNF-QRP-Table-for-Reporting-Assessment-Based-Measures-for-the-FY-2020-SNF-QRP-APU(1).pdf

SNF-QRP-Measure-Calculations-and-Reporting-Users-Manual-V20.pdf

SNF-QRP-APU-Table-for-Assessment-Based-Measures-for-FY2019_8-18-17-FINAL.pdf

SNF-QM-Users-Manual-V10-FINAL-5-22-17.pdf

 

RESIDENT DATA REPORTING MANUAL

Resident Data Reporting Manual 6 2015.pdf

 

RAI/MDS RESOURCES/MANUAL

1-MDS-30-RAI-Manual-v1-16-October-1-2018.pdf

2-MDS-30-RAI-Manual-v1-16-and-Change-Tables-October-1-2018.zip

3-MDS-30-RAI-Manual-v1-16-Replacement-Manual-Pages-and-Change-Tables-October-2018.pdf

5-MDS-Forms-Item-Sets-v1-16-1-October-1-2018.zip

Appendix-B-07-26-2018.pdf

Final-MDS-30-Data-Set-Version-1160-Change-Table-Effective-October-1-2018.pdf

Final-MDS-30-Data-Set-Version-1160-Effective-October-1-2018.pdf



MDSSchedTool2013_MDS_3_0.pdf

BIMS Cue Cards for non verbal resident.pdf

BIMS Cue Cards with pictures for non verbal resident.pdf

BIMS cue cards.pdf

MDS30TheUseOfDashes 6 11.pdf

Medicare Short Stay Assessment Algorithm.pdf

CAA Resource Guide.pdf

MEDICARE 100 DAY TOOL without therapy minutes revised 07182011.xlsx

RUG-IV Hierarchy PANAC.pdf

January 2013 Proposed MA CMI rates XL file

hipps.pdf

Definition and Uses of HIPPS Codes 1 2010.pdf

HIPPS Code Master List 4 1 11.zip

HIPPS_Modifiers_Table.pdf

Change Request Process HIPPS Code Set.pdf

MM6916_SNFHIPPS.pdf

Medicare Claims Processing Manual.pdf

CaseMixManual Change Document 20110801.pdf

Billing Best Practice.pdf

Exp_vs_Act_RUG4_8mos_Final.pdf

Fed Reg MC Program PPS and Consolidated Billing for SNF for FY 2012.pdf

 

ADVANCED BENFICIARY NOTICE

ABNAnnouncementFAQs.pdf

ABNFormInstructions.zip

RevABNManualInstructions.pdf

 

5 STAR RATING 

5 star cut points table 9 2013.pdf

5 Star staffing data file 9 2013.zip

NHCRatings 5 star rating 2009 2013.zip

Casper COVER _ TABLE OF CONTENTS_10-2012.pdf

CASPER SECTION 3 - UTILITY REPORTS_11-2012.pdf

Casper SECTION 11 - QM REPORTS_10-2012.pdf 

cspr_sec3_mds_prvdr_10-2011.pdf

 

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