by Proactive LTC Consulting | Mar 20, 2020 | Coding, COVID-19, Education, Infection Prevention, MDS
Residents of long-term care facilities are at the highest risk of being affected by COVID-19 because of advanced age and chronic medical conditions and co-morbidities. Not only are they at higher risk but have an increased risk of critical illness. Also, there are... by Proactive LTC Consulting | Mar 20, 2020 | Coding, COVID-19, Infection Prevention, MDS
COVID-19 ICD-10-CM Effective April 1 On 3/18/20, the Centers for Disease Control and Prevention (CDC) announced that the effective date of a new diagnosis code U07.1, COVID-19, from October 1, 2020 to April 1, 2020. According to the CDC, “this off-cycle update is... by Proactive LTC Consulting | Mar 17, 2020 | Coding, ICD.10, MDS, PDPM, Q&A
Q: If a resident has a BMI greater than 40 but the MD has not documented “morbid obesity”, can we enter the Z code for BMI in the MDS and receive the NTA point? A: Yes, but as stated in the ICD-10-CM Code Book: BMI codes should only be assigned when the... by Proactive LTC Consulting | Mar 17, 2020 | Coding, Documentation, MDS, Medicare, PDPM, Q&A
Q: If the dietitian completed a malnutrition assessment and the score indicates “at risk for malnutrition”, is the assessment considered sufficient supportive documentation to code Malnutrition in Section I if the physician were to review and sign the assessment form?... by Proactive LTC Consulting | Mar 10, 2020 | Coding, MDS, PDPM, Q&A
Q: Can you capture the respiratory therapy reimbursement if the nebulizer is being administered by a nurse? A: Yes, as long as the nurse is proficient in the modalities. RAI Appendix A defines Respiratory Therapy as: Services that are provided by a qualified... by Proactive LTC Consulting | Mar 10, 2020 | Coding, Documentation, Education, MDS, Medical Review, PDPM, SNF
Most facilities have fared better than anticipated under Patient-Driven Payment Model (PDPM). What will this mean from the standpoint of Medicare claims audits and how should we prepare for the inevitable start of medical review activity for PDPM claims? For many...