COVID-19 RESOURCES/INFORMATION

Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes

TOOLKIT NURSING HOMES STATE ACTIONS COVID 19_508.pdf

CMS Webpage for Covid-19

https://www.cms.gov/About-CMS/Agency-Information/Emergency/EPRO/Current-Emergencies/Current-Emergencies-page

CDC Guidance

https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fprevent-spread-in-long-term-care-facilities.html

TRAINING

QIO

https://qioprogram.org/nursing-home-trainings

https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html

https://www.cdc.gov/niosh/docs/2015-117/default.html

https://www.cdc.gov/coronavirus/2019-ncov/hcp/assessment-tool-for-nursing-homes.html

https://www.cdc.gov/coronavirus/2019-ncov/hcp/nursing-homes-testing.html

https://www.cdc.gov/coronavirus/2019-ncov/hcp/testing-healthcare-personnel.html

https://www.cdc.gov/coronavirus/2019-ncov/hcp/nursing-homes-responding.html

https://www.cdc.gov/nhsn/ltc/covid19/index.html

PENNSYLVANIA HEALTH DEPARTMENT PORTAL

https://www.health.pa.gov/topics/disease/coronavirus/Pages/Coronavirus.aspx

COVID-19 DATA IN PENNSYLVANIA

https://www.health.pa.gov/topics/disease/coronavirus/Pages/Cases.aspx

interim Final Rule Updating Requirements for Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes

https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/interim-final-rule-updating-requirements-notification-confirmed-and-suspected-covid-19-cases-among

WAIVERS

https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf

CMS's Workforce Toolkit

https://asprtracie.hhs.gov/Workforce-Virtual-Toolkit

Nursing Home Five Star Quality Rating System updates, Nursing Home Staff Counts, and Frequently Asked Questions

https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/nursing-home-five-star-quality-rating-system-updates-nursing-home-staff-counts-and-frequently-asked

Accelerated Payment Fact Sheet

https://www.cms.gov/files/document/accelerated-and-advanced-payments-fact-sheet.pdf

CMS Covid-19 Transfer Scenarios

https://www.cms.gov/files/document/qso-20-25-nh.pdf

Covid-19 LTC Facility Guidance

COVID-CAREs Survey and Enforcement Memo-FINAL CLEAN.pdf

Appendix PP_Release_Nov 22.pdf

https://www.cms.gov/files/document/4220-covid-19-long-term-care-facility-guidance.pdf

Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in Nursing Hmes Revised

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing

https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf

SNF_QRP COVID_19_PHE_Tip_Sheet _July_2020(1).pdf

Coverage and Payment Related to COVID-19 Medicare


https://www.cms.gov/files/document/03052020-medicare-covid-19-fact-sheet.pdf

TELEHEALTH

https://www.telehealth.hhs.gov/

https://www.cms.gov/files/document/medicare-telehealth-frequently-asked-questions-faqs-31720.pdf

https://www.youtube.com/watch?v=Bsp5tIFnYHk&feature=youtu.be

Long- Term Care Nursing Homes Telehealth and Telemedicine Tool Kit

https://www.cms.gov/files/document/covid-19-nursing-home-telehealth-toolkit.pdf

Covered Telehealth Services for PHE for the COVID-19 pandemic, effective March 1, 2020.zip

MEDICARE TELEMEDICINE HEALTH CARE PROVIDER FACT SHEET

https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

ICD-10-CM Coding of Covid-19

COVID-19-guidelines-final(1).pdf

ICD-10-CM-April-1-2020-addenda.pdf

Covid19 Coding Clinic Guide.pdf

Announcement-New-ICD-code-for-coronavirus-3-18-2020.pdf

Covid-19 Frequently Asked Questions

https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf

1135 Waiver Frequently Asked Questions

https://www.cms.gov/About-CMS/Agency-Information/Emergency/Downloads/MedicareFFS-EmergencyQsAs1135Waiver.pdf,

Covid-19 Emergency Declaration Blanket Waivers for Health Care

https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf

Dear Clinician Letter

https://www.cms.gov/files/document/covid-dear-clinician-letter.pdf

CMS Updated the MLN Booklet on Telehealth Services

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Telehealth-Services-Text-Only.pdf

Open Door Transcripts

https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts

CMS PODCASTS, OFFICE HOURS

https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts

COVID19OfficeHours04162020.zip

COVID19NursingHomes03252020.zip

COVID19NursingHomes04082020.zip

COVID19NursingHomes04152020.zip

Notifications-Confirmed-Cases.pdf

QSO-20-26-NH_1.pdf

covid19-dq-508.pdf

QSO-20-29-NH_0(1).pdf

A._NursingHome_InfectionControl_Worksheet11-8-19508.pdf

QSO-20-14-NH - REVISED 3-13-2020(1).pdf

COVID-CAREs Survey and Enforcement Memo-FINAL CLEAN(1).pdf

Nursing Home Inspection and COVID 19 Data Release Frequently Asked Questions final 2.pdf

Nursing Home Reporting Numbers-May31.pdf

QSO-20-33-NH.pdf

QSO-20-32-NH.pdf

COVID-OIG-Strategic-Plan.pdf

https://oig.hhs.gov/coronavirus/index.asp?utm_source=web&utm_medium=web&utm_campaign=covid19-landing-page


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

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


PROPOSED FINAL RULE 4/15/20

Proposed SNF PPS Regulations 4 15 2020-07875.pdf


PROPOSED FINAL RULE 7/2019


https://www.federalregister.gov/public-inspection/current



PATIENT DRIVEN PAYMENT MODEL (PDPM)

During the PA Department of Health Teleconference, Kerry Weaver, HC Senior Consultant with Myers & Stauffer announced that Pennsylvania has elected to collect PDPM data on OBRA assessments; however, the collection of this data will take place no earlier than January 1, 2021

For more information, please log onto the website below for the teleconference MP3 and PowerPoint presentation slides.

https://nfrp.panfsubmit.com/

PDPM_ICD10_Mappings_Clinical_Category - Copy.csv

PDPM_FAQ_Final_v5.zip

PDPM_Fact_Sheet_AdminPresumption_Final.pdf 

PDPM_Fact_Sheet_AIDS_Final.pdf

PDPM_Fact_Sheet_Template_CGLimit_Final.pdf

PDPM_Fact_Sheet_FunctionalCognitiveScoring_Final.pdf

PDPM_Fact_Sheet_InterruptedStay_Final.pdf

PDPM_Fact_Sheet_MDS_Changes_Final.pdf

PDPM_Fact_Sheet_NTAComorbidityScoring_Final.pdf

PDPM_Fact_Sheet_Template_Payment_Overview_Final.pdf

PDPM_Fact_Sheet_VPD_Final.pdf





TOOLS AND TIPS

Clinical_Frailty_Scale.pdf

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 Clinical Category Mapping 3 31 2020.csv

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 10 1 19.pdf

PANFAssessmentManual FY1920 Final.pdf

Resident Data Reporting Manual 6 2015.pdf

 

RAI/MDS RESOURCES/MANUAL

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

mds-3.0-rai-manual-v1.17.1_october_2019.pdf

mds-3.0-rai-manual-v1.17.1_october_2019.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

ABNForm Instructions2020v508.pdf

ABNEnglishSpanish (InclLgPrint) 2020v508.zip

ABNEnglish_Labsample060717.pdf

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


PANAC

PO BOX 3116, YORK, PA 17402

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