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... by Proactive LTC Consulting | 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... by Proactive LTC Consulting | Apr 24, 2024 | Coding, ICD.10, MDS
While MDS Coordinators consistently strive for accuracy, complying with the intricate coding instructions and details in the Resident Assessment Instrument User Manual, in addition to state-specific coding instructions is challenging. Unfortunately, MDS coding errors... by Proactive LTC Consulting | Apr 9, 2024 | Coding, MDS, Q&A
Q: Is concussion related to fall considered a fall with major injury that would be coded In section JJ1900C of the MDS? A: The RAI Manual defines a fall with major injury as follows: Major injury: includes bone fractures, joint dislocations, closed head...