by Proactive LTC Consulting | Mar 4, 2020 | Coding, MDS, Medicare, PDPM, Physicians, Q&A
Q: The physician documented dehydration on the discharge summary, however, the resident does not qualify for any of the 3 items listed in the RAI manual in J1550. Should dehydration be coded on the MDS? A: The coding for dehydration is based on the presence of... by Proactive LTC Consulting | Feb 13, 2020 | Blog, CMS, Coding, Education, Reimbursement
The therapy industry recently received some good news in terms of hard edits that were previously applied effective January 1, 2020 without warning. Our blog posted on 1/16/2020 shared that therapeutic activities (97530) and group therapy (97150) could no longer be... by Proactive LTC Consulting | Jan 23, 2020 | Coding, MDS, PDPM, Q&A, RAI Manual
Q: I have NPO resident on tube feeding. He coughed during trials of nectar thick liquids per speech therapy. Should the MDS be coded for swallow problems? The RD says directions on the MDS RAI manual say “do not code if interventions are successful in treating... by Proactive LTC Consulting | Jan 22, 2020 | Coding, Compliance, MDS, PDPM, Q&A
Q: With section GG replacing Section G in October, will CNA ADL charting go away? A: CMS posted a new DRAFT version of the 2020 MDS item sets (v1.18.0) on December 20, 2019 in which Section G has been removed from all Federal item sets. This will help eliminate the... by PMR Team | Jun 27, 2019 | Audits, Coding, Compliance, Medicare, PDPM, Regulatory, Reimbursement
A strong Triple Check process requires a group effort The Triple Check process is an internal audit that ensures billing accuracy and compliance with regulatory guidelines prior to the submission of claims to Medicare and other payors. A strong Triple Check process... by PMR Team | Oct 3, 2018 | Coding, ICD.10, MDS, PDPM, Reimbursement, SNF, Therapy
November 13 + December 10, 2018 9:30 AM-3:30 PM (Eastern Time) SNF ICD.10 Coding: Integrating SNF Coding Systems In Preparation for PDPM This course will review common challenges skilled nursing facilities face regarding ICD-10 coding and provide best practices for...