by Proactive LTC Consulting | Oct 9, 2024 | Coding, Documentation, MDS, Quality Measure, RAI Manual
Q: My facility is triggering high for the Quality Measure: Prevalence of Behavior Symptoms Affecting Others, but we don’t have many behavioral issues in our population. Why is this happening? A: This measure may trigger if the most recent MDS is coded... by Proactive LTC Consulting | Sep 18, 2024 | Coding, Q&A, Quality Measure, RAI Manual, Reimbursement
Q: Our facility is triggering the UTI QM, and we have identified that many of these are the result of the hospital diagnosing a UTI that does not meet our infection criteria. Do we have to code those on the MDS if they occur during the look-back period? ... by Proactive LTC Consulting | Sep 4, 2024 | Coding, Medicare, Q&A, Reimbursement
Q: My biller is requesting a HIPPS code for a Medicare resident who admitted to our SNF and then transferred to an assisted living facility on the same day. I didn’t think we could bill for the day of discharge. Please clarify. A: Generally, the day of... by Proactive LTC Consulting | Aug 21, 2024 | Coding, ICD.10, Q&A
Q: What should be the first reference for MDS/NAC or IDT members when searching for a diagnosis code? A: The ICD-10-CM Official Guidelines for Coding and Reporting (Guidelines) for the current fiscal year should always be the first reference consulted.... by Proactive LTC Consulting | Jul 24, 2024 | Coding, MDS, Q&A
Q: Can I code fluids received in the hospital in section K for a diagnosis of Hypovolemia? A: Fluids coded in K0520A1 do have to be for nutrition or hydration. Oftentimes we may not see that specific verbiage in the hospital notes. In cases where the... by Proactive LTC Consulting | 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...