by Proactive LTC Consulting | Oct 30, 2024 | Coding, Compliance, Documentation, ICD.10, MDS, Nursing, PDPM, Physicians, Regulatory, Reimbursement
Keys to Active Diagnosis Documentation and the Provider Query Process Supportive documentation of active diagnosis is crucial—supporting quality care as well as playing a vital role in regulatory compliance, reimbursement, and overall patient outcomes. This week,... by Proactive LTC Consulting | Oct 30, 2024 | Clinical, Coding, Compliance, MDS, Nursing, RAI Manual
Q: I have a resident that routinely receives an injection of fluphenazine decanoate every 4 weeks. The injection was not administered during the 7-day observation period, but its a long-lasting medication. Should I code it under N0415A? A: Page N-9 of... by Proactive LTC Consulting | Oct 22, 2024 | Compliance, Medicare, Regulatory, SNF
Mandatory Off-cycle SNF Revalidation Process—What You Need to Know CMS will be notifying facilities via letter sent from their Medicare Administrative Contractor (MAC) sometime between October to December 2024 that they must complete the off-cycle revalidation... by Proactive LTC Consulting | Oct 22, 2024 | Compliance, Documentation, Medical Review, Medicare, SNF
Mandatory update to SNF ABN (CMS-10055) – 10/31/2024 The Centers for Medicare & Medicaid Services (CMS) released an update to the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN)—Form CMS-10055 in August. The revised form and updated... by Proactive LTC Consulting | Oct 22, 2024 | Clinical, MDS, Nursing, Pressure Ulcers
Q: We have a resident with a chronic stage IV pressure ulcer who recently had flap surgery to close the wound. Do I continue to code the stage IV on the MDS? A: According to the RAI (pg. M-6), if a pressure ulcer is surgically closed with a flap or...