Ask Proactive – When a resident who has a feeding tube for nutrition is receiving speech therapy and has orders for a pureed diet/thickened liquid trials at lunch during therapy sessions, should this be coded on the MDS as a mechanically altered diet in section K0510?

by | Apr 4, 2023 | Coding, Dietary, MDS, PDPM, Q&A, Therapy

Q: When a resident who has a feeding tube for nutrition is receiving speech therapy and has orders for a pureed diet/thickened liquid trials at lunch during therapy sessions, should this be coded on the MDS as a mechanically altered diet in section K0510?   A:...

Ask Proactive – If a skilled or private pay resident is sent out to the hospital and the resident’s representative does not want to pay to hold the bed, is this an allowable discharge?

by | Mar 29, 2023 | Admissions, Compliance, Regulatory

Q: If a skilled or private pay resident is sent out to the hospital and the resident’s representative does not want to pay to hold the bed, is this an allowable discharge?   A: No, you must permit them to readmit to the next available bed if your facility can...

Ask Proactive – We have a resident who we are skilling related to a recent femur fracture. The principal diagnosis is S72.22XD, which maps to the Non-Surgical Orthopedic/Musculoskeletal Clinical Category, but it states “May be Eligible for One of the Two Orthopedic Surgery Categories”. How do we determine if it is eligible for one of the Orthopedic Surgery categories?

by | Mar 22, 2023 | Coding, ICD.10, MDS, PDPM, Q&A

Q: We have a resident who we are skilling related to a recent femur fracture. The principal diagnosis is S72.22XD, which maps to the Non-Surgical Orthopedic/Musculoskeletal Clinical Category, but it states “May be Eligible for One of the Two Orthopedic Surgery...