Ask the expert: comprehensive assessment

Q:  Have time work studies been done to determine the average length of time taken to complete a comprehensive assessment?
A: To my knowledge, independent studies on the length of time needed to complete an OBRA Comprehensive assessment on MDS 3.0 have not been done. CMS filed timing information with OMB prior to the start of MDS 3.0 in 2010. I’ve been waiting for such a study to be completed.

Ask the Expert: 100 days benefit

Q: If a resident uses their part of their 100 day benefit for a G-Tube, can we ever skill him again?
 
A: If a resident with a G-Tube goes 60 consecutive days without a hospital stay or any skilled service or skilled care (less than 26% of the calories goes through the tube or less than 50% and less then 501 cc of fluid), then the patient would qualify for a new 100 day benefit period. A …

Hospital-based SNFs need new payment policies

The government should adjust Medicare payment policies to better support the type of care provided in hospital-based skilled nursing facilities, the American Hospital Association urged in a recent letter to Marilyn Tavenner, CMS Administrator.
The skilled nursing facility prospective payment system should take more account of non-therapy ancillary services, such as drugs and diagnostic X-rays, the AHA stated in its June 25 letter. The Medicare Payment Advisory Commission (MedPAC) has also recommended this change, the letter …

The median annual cost of a private nursing home room has increased

The median annual cost of a private nursing home room in the United States has increased to $87,600, according to the latest annual survey from insurance company Genworth. This is a 4.4% increase from last year. The median price for a semi-private nursing home room increased by 2.62%, reaching $77,380 a year.
The cost of nursing care increased more than the cost of assisted living. The monthly median rate for assisted living now is at $3,500, …