<img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=209517142775807&amp;ev=PageView&amp;noscript=1"> Richter ShareSource Blog | Jennifer Leatherbarrow RN BSN, RAC-CT, QCP, Senior Clinical Consultant
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Richter ShareSource Blog

Jennifer Leatherbarrow RN BSN, RAC-CT, QCP, Senior Clinical Consultant

Recent Posts

Understanding the CMS Requirements of Participation Past and Future


Note: This is the first blog in our multi-part blog series on the CMS Requirements of Participation.

Did you know that one in three long-term post-acute care (LTPAC) residents is harmed by an adverse event within 35 days of their stay? Indeed, it is true, and the statistics from the Office of Inspector General don’t stop there:

  • 59% of events are preventable
  • 37% of such events medication related (medication induced change in mental status, excessive bleeding)
  • 37% are resident related (fall, electrolyte imbalance, pressure injury)
  • 26% are infection related
  • 50% of those residents affected returned to the hospital
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Seeing the Connection Between Phase 3 Requirement of Participation and Quality Assurance and Performance Improvement (QAPI)


Note: This is the third blog in our multi-part blog series on the CMS Requirements of Participation.

Nov. 28, 2019 is quickly approaching, and with that will come Phase 3 of the Centers for Medicare and Medicaid Services’ (CMS’) Requirements of Participation. As part of this, a fully integrated QAPI program will be required on this date. This should come as no surprise since some of the QAPI components should have already been implemented by your long-term post-acute care (LTPAC) facility, as stated below. This requirement is not going away and should be implemented soon rather than later. 

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Topics: Qapi, QAPI Consulting

The Role of Trauma-Informed Care in Phase 3 Requirement of Participation


Note: This is the second blog in our multi-part blog series on the CMS Requirements of Participation.

Individual trauma is an experience (or series of circumstances, events or occurrences) that an individual considers emotionally, physically or socially threatening or harmful and that has a long-term negative impact on the individual’s emotional, physical and/or social well-being. An event becomes traumatic when the ability to cope is overwhelmed.

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CMS Phase 3 Requirement of Participation: Compliance and Ethics Program


Note: This is the fourth blog in our multi-part blog series on the CMS Requirements of Participation.

The Compliance and Ethics section of the Centers for Medicare and Medicaid Services’ (CMS’) Requirements of Participation is a new section developed in response to a mandate under the Affordable Care Act that requires the operating organizations of skilled nursing facilities to have a compliance and ethics program that is effective in preventing and detecting criminal, civil and administrative violations and in promoting quality of care consistent with current regulations.

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Topics: QAPI Consulting

Ready or Not, Here Comes RCS-1


The long-term post-acute care (LTPAC) industry is bracing itself for yet another major change in 2018: Resident Classification System-1 (RCS-1). This new Medicare payment model is only months away, with an estimated start date of October 1, 2018. RCS-1 has the potential to turn things upside down for providers that are not sufficiently prepared.

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Topics: Regulatory Changes, Clinical Consulting, Financial Consulting

QAPI Case Study: How a SNF Used QAPI to overcome decline of Activities of Daily Living (ADL) & customer satisfaction


This case study illustrates how one facility discovered how to utilize QAPI processes to overcome their specific ADL and customer satisfaction challenges.

Download our free e-book to find out how QAPI processes can enhance your facility here. 

Sunny Cove Nursing Home was informed by the state ombudsman that they had a reputation for discharging residents who have been unhappy with their care and overall outcomes. To address this, Jane Doe, DON, had her administrative nurses begin an investigation to determine if this allegation was credible.

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Topics: Clinical Consulting, QAPI Consulting

Understanding RAI Manual Coding Updates and Avoiding Common Coding Errors


October 1, 2016 brought forth some significant changes to the Resident Assessment Instrument (RAI) Manual used by minimum data set (MDS) nurses throughout the country.

The RAI Manual is essentially an MDS nurse’s bible. It explains how to code and provides the rational for coding every single item on the MDS. If you have a question, it has the answer. My manual has never been far from me and the many notes and dog eared pages throughout it are a testament to that.

Today, the manual can be referenced online, so there is no need to carry the five inch binder around (although I still keep mine in the trunk of my car just in case). While the online version is a much better travel companion, I feel like we are not able to really dig our heels in and read it. For that reason, some items are much more likely to be miscoded in this new era of technology. Here are some of the most common areas I've found in which miscoding occurs:

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Topics: Regulatory Changes, Clinical Consulting

Additional Development Request (ADR) Basics – Understanding How and Why They Are Used

An Additional Development Request (ADR), also known as an Additional Document Request, is issued for the purpose of reviewing documentation for specific issues as determined by the Centers for Medicare and Medicaid Services (CMS) or other governing agencies of the federal government.

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Topics: Clinical Consulting, Revenue Cycle Management, Financial Consulting