Phase 3 RoP

The Long-Awaited Phase 3 Requirements Are Now In Effect… But Still No Interpretive Guidance For the Phase 3 Regulations The Phase 3 requirements went into effect on Nov. 28 as planned and facilities are now required to comply with these and all requirements. In a memo...

PDPM Coding Questions – Is the malnutrition code enough?

PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Is the Registered Dietician’s documentation / finding of malnutrition enough to code malnutrition or is a diagnosis needed from the MD? A: The disease conditions...

PDPM Operations: Selecting Primary Diagnosis

Driving PDPM Operations:  Selecting the Primary Diagnosis Under PDPM, the diagnosis coded on the 5-day/Initial Minimum Data Set (MDS) in section I0020B (primary reason for skilled stay) largely determines reimbursement for the entire Medicare stay, unless an Interim...