by Proactive LTC Consulting | Sep 2, 2026 | Clinical, Coding, Compliance, Documentation, ICD.10, Medicaid, Medicare, Nursing, PDPM, Physicians, Reimbursement
Q: A resident had a fall at home resulting in multiple fractures. The resident was admitted to our facility following hospitalization and surgery. Would orthopedic aftercare be an appropriate primary diagnosis? A: Following a traumatic fracture, an...
by Proactive LTC Consulting | Jul 8, 2026 | Care Planning, Coding, Documentation, ICD.10, Infection Prevention, MDS, Physicians
Q: How do I determine if a diagnosis is active and can be coded on the MDS? A: Determining whether a diagnosis can be coded on the MDS involves a two-step process. A diagnosis must meet both criteria to be coded as an active diagnosis. Step 1: Was the...
by Proactive LTC Consulting | Mar 18, 2026 | 5-Star, Coding, Education, ICD.10, MDS, Medicaid, Medicare, Nursing Home Consultant, Quality, Quality Measure, Reimbursement, SNF
Impact of Primary Diagnosis Selection on the Quality Measures A well‑chosen primary diagnosis and accurate coding of all active diagnoses on the MDS does more than impact reimbursement. It shapes a resident’s clinical category, which in turn determines whether the...
by Proactive LTC Consulting | Jan 28, 2026 | Antipsychotics/Psychotropics, ICD.10, Nursing Home Consultant, Pharmacy, Quality, Quality Measure, SNF
A Big Change Is Showing Up in Your QM Reports: Hybrid Long-Stay Antipsychotic Measure The new Hybrid Long-Stay Antipsychotic Quality Measure is now live and visible on MDS 3.0 QM reports resulting in dramatic shifts in scoring for some facilities. If you haven’t...
by Proactive LTC Consulting | Jul 30, 2025 | Coding, ICD.10, MDS, Medicare, Nursing, SNF
Q: A resident was admitted with a diagnosis of acute on chronic respiratory failure requiring a new tracheostomy. The trach was placed during the hospital stay and the resident continues to require suctioning, respiratory monitoring, and oxygen therapy here in the...
by Proactive LTC Consulting | Apr 9, 2025 | Audits, Coding, Compliance, Documentation, ICD.10, MDS, Reimbursement
Crack the Code to Payment Accuracy: Why ICD-10 Coding Proficiency Matters Now More Than Ever In today’s reimbursement-driven healthcare environment, one thing is clear: accurate coding isn’t optional—it’s essential. For Skilled Nursing Facilities, ICD-10 coding...
