Ask Proactive – One of our long-term residents fell and fractured their femur requiring a hip replacement. They returned to our facility on a skilled stay. The IDT met and were discussing a primary diagnosis. Therapy believes we should use Z47.1 Aftercare following joint replacement surgery but some of the available hospital documentation uses S72.141A Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture. Which is the correct code?

by | Jun 10, 2024 | Coding, ICD.10, Q&A

Q: One of our long-term residents fell and fractured their femur requiring a hip replacement. They returned to our facility on a skilled stay. The IDT met and were discussing a primary diagnosis. Therapy believes we should use Z47.1 Aftercare following joint...

Minimum Staffing Final Rule

by | Apr 24, 2024 | Coding, ICD.10, MDS

*Content in this post was corrected on 4/24/2024 at 11:11 Central Time. The HPRD of direct nurse aide care was changed from .45 to 2.45* On Monday, April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) unveiled a comprehensive 329-page final rule...

Ask Proactive – When coding IV fluids “while not a resident” in section K of the MDS for a resident who does not have a dehydration diagnosis what documentation would support that the IVFs were administered for nutrition/hydration?

by | Mar 19, 2024 | Coding, MDS, Q&A

Q: When coding IV fluids “while not a resident” in section K of the MDS for a resident who does not have a dehydration diagnosis what documentation would support that the IVFs were administered for nutrition/hydration?     A: The key to supporting the coding...