As a nurse leader, what can I do to help create a solid process for nursing documentation under PDPM? Begin with what correct and complete documentation looks like. Facilities often have nurses use checklists...
Ask The Nursing Expert
By
Amy Stewart
Jun 06, 2019
I’ve heard that nurse leaders are now using “stay interviews” to help boost staff retention. What are these and how should I implement them? Stay interviews are one-on-one conversations conducted...
Ask the Nursing Expert: Accuracy of Medicare Part A under PDPM
By
Amy Stewart
May 01, 2019
The accuracy of the rates is based solely on the accuracy of the 5-Day PPS assessment and its supporting documentation, which will potentially set the rate for the entire Medicare stay.
Ask the Nursing Expert: Getting ready to submit high-acuity residents under PDPM
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Mar 07, 2019
Under the Patient-Driven Payment Model, skilled nursing facilities are likely to treat higher acuity residents and surveyors’ attention to appropriate admissions and avoidable readmissions will intensify.
Ask the Nursing Expert about … nurse confidence
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Jul 09, 2018
How can I encourage my nurses to confidently engage their critical thinking skills to ensure accurate assessments and optimal care for residents? Critical thinking was perfectly described by the late Richard...
Ask the Nursing Expert about … culturally competent care requirements
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Jun 08, 2018
I thought culturally competent care requirements weren’t effective until Nov. 28, 2019, the Phase 3 deadline. Why are facilities getting cited now?
Ask the Nursing Expert about …Medicare denial forms
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
May 08, 2018
I’ve heard that as of April 30, 2018, we had to start using the new CMS-approved form for Medicare A denial notices. As a director of nursing services, what do I need to know? Most skilled nursing...
Ask the Nursing Expert about … documentation for new survey regulations
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Feb 08, 2018
For years I have referred to the State Operations Manual (SOM) Appendix P for guidance on the survey process. But the Centers for Medicare & Medicaid Services recently announced that Appendix P will be...
Ask the Nursing Expert about … the Facility-Wide Assessment
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Dec 06, 2017
My administrator has asked me to lead the effort to prepare our Facility-Wide Assessment (FWA). What does this mean for me, as the director of nursing?
Ask the Nursing Expert about … staff competencies
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Nov 06, 2017
Is it true that during new survey process, surveyors will ask staff nurses and nursing assistants about their competencies, with questions such as, “Do you receive periodic evaluations on your skills,...