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Medicare Learning Network (MLN) Connects 7/7/2022
Medicare Learning Network (MLN) Connects 7/7/2022
For a post COVID-19 condition, unspecified, like Long COVID, use code DX U09.9. Add other codes for conditions related to the COVID-19 infection, like R50.9 for fever.
For a current COVID-19 infection, use code DX U07.1. Don't use code DX U09.9.
For a current COVID-19 infection and conditions from a previous COVID-19 infection, use code U09.9 with code DX U07.1. Add other codes for conditions related to the COVID-19 infection, like R06.02 for shortness of breath.
For more information, see pages 30-31 of ICD-10-CM Official Guidelines for Coding and Reporting: Fiscal Year 2022 (PDF).
January 2022 Care Compare Reflects New Weekend Staffing and Staff Turnover Measures
January 2022 Care Compare Reflects New Weekend Staffing and Staff Turnover Measures
In January 2022, CMS began posting new weekend staffing and staff turnover measures on Care Compare (CMS memorandum QSO 22-08-NH). These measures will be included in Nursing Home Five Star Quality Rating System methodology starting with the July 2022 Care Compare refresh.
What does this mean to you as the provider?
What does this mean to you as the provider?
Previously, it was possible to improve the overall Five-Star score with a Staffing Rating of either four or five stars. However, CMS will now require a Staffing score of five stars to improve a SNF’s overall Five-Star score.
CMS is changing how Five-Star Staffing Ratings are calculated. In addition to the current two measures, of the registered nurse (RN) and total nurse hours per resident per day, CMS has added four new staffing data points methodology to calculate the Five-Star Staffing Rating:
Total Nursing Adjusted HRD for weekend days
The percentage of total nursing staff (RNs, LPNs, LVNs, Nurse Aids, Medication Aids/Technicians) who left the SNF over a 12-month period
The percentage of RNs who left the SNF over a 12-month period
The number of administrators who left the SNF over a 12-month period
Each nursing home's performance on the staffing measures is converted to points, then summed and compared to thresholds to determine the staffing star rating. Additionally, to emphasize the importance of staffing, one star will no longer be added to the overall rating of nursing homes that have a four-star staffing rating. Rather, only nursing homes with a five-star staffing rating will be rewarded with an increase in their overall star rating.
Refer to the Nursing Home Five-Star Quality Rating Technical Users' Guide for more details on the staffing rating methodology, how to minimize falling stars, and overall success with PBJ compliance.
Medicare Learning Network presents
Medicare Learning Network presents
Skilled Nursing Facility (SNF)
Skilled Nursing Facility (SNF)
Provider Preview Reports
Provider Preview Reports
Review your data by August 15, and contact CMS if you have questions about your scores. The data will be published on the Care Compare webpage and in the Provider Data Catalog in October.
Visit the Updates section of the Public Reporting webpage for more information.
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