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... by Proactive LTC Consulting | 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... by Proactive LTC Consulting | Jan 24, 2024 | 5-Star, Blog, Coding, MDS, Quality Measure, Survey
Providers focused on Five Star improvement often look to the MDS department as a driver of Five Star performance. Let’s examine the potential impact of the MDS on facility star ratings and consider key focus areas for coding accuracy… Before jumping to the conclusion...