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PDPM Coding Questions – Why aren’t the Nursing and NTA components reflecting the MDS report?
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: We reported on the MDS that a resident received IV medications in the hospital within the look-back period. Why aren’t the Nursing and NTA components reflecting...
Support Nurse Retention With Targeted Professional Development
Targeted vs. Targeting Nursing staff have undergone a major change with the transition to PDPM creating an added stressor to an already demanding job. Opportunities for professional development have been found to be a key retention factor contributing to career...
To IPA or not to IPA, That is the Question
While a SNF's decision to complete the IPA itself is optional, they must remain fully aware of any changes in a resident's condition. The Interim Payment Assessment (IPA) is an optional assessment that may be completed to capture changes in a resident’s status...
PDPM Coding Questions – How are IV fluids received coded?
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: I have heard that IV fluids received in the hospital can be reported on the MDS if administered within the look-back period. Where is this information coded? A:...
PDPM Coding Question – Must Z0400 be signed if there is supporting documentation?
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Must Z0400 be signed if there is supporting documentation in the record with the name and date completed by the correct staff member? A: All staff who completed...
PDPM Coding Question – Will all of the IPAs during the Sept-Oct transition period be audited by CMS?
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Will all of the IPAs during the Sept-Oct transition period be audited by CMS? A: There is no indication at this time that CMS plans to audit all of the Sept-Oct....
Top Priorities for Staff Development in 2020
Top Priorities for Staff Development in 2020 As you plan your 2020 staff training itinerary, consider addressing these important topics: Phase 3 staff training and competency requirements, advancing PDPM skills, and 5 Star Quality. The Phase 3 SNF §483.95 Training...
5 Action Items in 2020 to Drive 5 Star
Five Star Quality Rating System with Public Reporting 2020 marks 13 years of the Five Star Quality Rating System with public reporting on the CMS Nursing Home Compare website. Since 2008, the rating system and website have evolved with updates in 2012, 2015, 2018 and...
PDPM Coding Question – Can you count IV fluids given in the hospital?
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Under PDPM, can you count IV fluids given in the hospital? A: Yes, any and all nutrition and hydration received in the last 7 days given at the hospital as an...
PDPM Coding Question – How should providers handle the claims from October?
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Do you know how providers should handle the October claims that are either overpaying or underpaying since PDPM went into effect? A: To be sure, I suggest you...
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...
Casper Reports Part 2: Insights for PBJ, QRP and Final Validation Reports
Using CASPER Reports for Quality Measure Monitoring with Recommended Run Schedule This is part 2 or a 2 part blog on the effective use of CASPER reports. As a continued review of CASPER Reports with Recommended Run Schedule, let’s take a look at Payroll Based Journal...
Part 1: CASPER Reports with Recommended Run Schedule
Using CASPER Reports for Quality Measure Monitoring with Recommended Run Schedule This is part 1 or a 2 part blog on the effective using of CASPER reports. Certification and Survey Provider Enhanced Reports, better known as CASPER, offer an assortment of real-time...
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...