by Proactive LTC Consulting | Oct 7, 2020 | Blog, Coding, MDS, PDPM, Q&A
Q: Our IDT team writes a progress note for section GG collaboration. Can the note generally state, “Section GG codes vary but IDT team have collaborated to decide on appropriate GG coding for MDS?” A: This statement may need to be more detailed for usual... by Proactive LTC Consulting | Sep 23, 2020 | Audits, Blog, Coding, MDS, Medical Review, Medicare, PDPM
As we began discussing in part 1 of this article last week, the accuracy of coding, documentation and data monitoring is vital as we prepare for the inevitable start of PDPM medical review audit activity. Provider data outliers will trigger audits, and any coding... by Proactive LTC Consulting | May 21, 2020 | Audits, Blog, Coding, COVID-19, Education, ICD.10, MDS
Q: What is the #1 ICD.10 coding error that you find in your audits? A: Answer: The coding error seen most often is using acute conditions/diagnoses. The RAI Manual states while certain conditions represent acute diagnoses, SNFs should not use acute diagnosis... by Proactive LTC Consulting | May 13, 2020 | Blog, CMS, Coding, ICD.10, MDS, PDPM, Reimbursement
After 1000 PDPM coding audits completed since the PDPM transition, there are many trends our audit team has identified. This week’s blog highlights specific tips for selecting the primary diagnosis in Section I0020B based on common missed opportunities and errors... by Proactive LTC Consulting | Apr 29, 2020 | Blog, Coding, COVID-19, Education, MDS
Q: Is PNA related to COVID-19 an opportunistic infection? A: Pneumonia related to COVID-19 does not map to the NTA item Opportunistic Infection. Blog by Shelly Maffia, MSN, MBA, RN, LNHA, QCP, CHC, Proactive Medical Review Click here to learn more about Shelly... by Proactive LTC Consulting | Apr 1, 2020 | CMS, Coding, COVID-19, ICD.10, MDS, PDPM
The Centers for Disease Control and Prevention (CDC) published the final guidelines for the new diagnosis code U07.1, COVID-19, effective April 1 to September 30, 2020. As a result, the Centers for Medicare & Medicaid Services (CMS) also updated the ICD-10-CM to...