Resources
Please fill out the form at the bottom of the page for access to the long-term care documents and resources listed below.
MDS, RUGS, AND CARE PLANNING
- NEW! Detailed ADL Flow Sheet
- NEW! Discharge Assessment Changes
- NEW! October 2011 Billing Calendar
- NEW! RUG-IV Classification Tree FY 2012
- EOT, EOT-R, and COT OMRA example
- Use of Dashes in Completing the MDS 3.0 Assessment
- List of changes to RAI User’s Manual – June 2011
- MDS 3.0 Submission Helpful Hints
- Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2011 (Publication Date: July 22, 2010)
- RUG-IV CMI Sets E01 and E02
- MDS 3.0 Short-Stay Algorithm
- MDS 3.0 Entry, discharge, and reentry algorithms
- QIES ASAP MDS 3.0 Provider User’s Guide
- MDS 3.0 All Items Listing (released April 2010)
- MDS 3.0 Item Set Change History (released April 2010)
- MDS 3.0 Q&As from Training Session (released April 2010)
- CMS’ ADL Flow Sheet for the MDS 3.0
- Interview checklist
- Interviewing tips for success
- Bowel and bladder management audit
- Updated MDS 3.0 Timeline posted April 16, 2009
- RAI User’s Manual, Chapter 6: Medicare SNF PPS
- MDS 2.0 to MDS 3.0 Item Navigational Reference Table
- RUG-III MDS 3.0 Mapping Specifications
- MDS 3.0 timing and interoperability letter
- Rand Corporation MDS 3.0 Final Report
FIVE-STAR QUALITY RATING SYSTEM
- April and July 2011 Changes to Nursing Home Compare
- California Five-Star bill
- Attorneys General Five-Star letter to Secretary Sebelius
- The Five-Star Quality Rating System Technical Users’ Guide: State-Level Cut Point Tables
- Description of the Expected and Adjusted Staff Time Values Data Set for Five-Star
- Expected and Adjusted Staff Time Values Data Set for Five-Star
REIMBURSEMENT AND BILLING
- Form CMS-R-131 for November 1, 2011 implementation
- ABN Booklet
- A Report on Shortfalls in Medicaid Funding for Nursing Home Care
- Medicare Learning Network Suite of Products and Resources for Billing and Coding Professionals, December 2010
- OIG report: Questionable Billing by SNFs
- MedPac SNF Payment Basics
- SNF Beneficiary Notices Requirements Chart
- Transmittal 1824: Influenza vaccine payment allowances in 2009-2010 season
- H1N1 billing fact sheet for Medicare fee-for-service providers
- MLN Matters: Correct billing changes for certain SNF residents
- SNF payment rates: FY 2010 versus FY 2009
- MLN Matters Article: Revised no-pay billing instructions
SURVEY
- CMS Survey and Certification Letter regarding QIS rollout
- Transmittal 51: Revisions to F441, Infection Control
- State Operations Manual, Appendix PP, New F-tag guidance for surveyors
- CMS RAC review phase-in strategy
- Pain management guidance under F309
RULES AND LEGISLATION
- NEW! OIG 2012 Work Plan
- NEW! SNF PPS Final Rule for Fiscal Year 2012
MEDICARE PART B BILLING MANUAL FORMS
- DME information form
- Influenza virus vaccine roster
- Pneumococcal pneumonia virus vaccine roster
- Sample UB-04
- Medicare Part B wound care supply billing audit checklist
- Medicare Part B surgical dressing documentation
- Enteral billing information form
- Enteral nutrition complaint resolution form
- Enteral nutrition: Letter to the resident
- Medicare billing information requirements
- Medicare coverage verification policy
- Insurance verification policy
- Medicare payment status policy
WHITE PAPERS AND SPECIAL REPORTS
- Meeting the MDS 3.0 Challenge
- Get your MDS 3.0 training on track
- Managing Your Five-Star Nursing Home Rating
- New pain management guidance under F309
- Medicare Part D: SNFs, LTCPs, and dual-eligible residents
E-NEWSLETTERS
- MDS 3.0 Update
- LTC Nursing Assistant Trainer
HCPRO RESOURCES
- HCPro Healthcare Marketplace
- HCPro Boot Camps
- The Center for Post Acute Excellence
HELPFUL WEBSITES
- CMS’ MDS 3.0 Web page
- Guide to navigating CMS Web site
- HealthLeaders Media
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