by Proactive LTC Consulting | Apr 3, 2024 | ICD.10, Nursing, PDPM, Q&A, Reimbursement
Q: I had a resident admitted to our SNF under skilled care who has been diagnosed with HIV/AIDS, but the NTA points are not generating in the HIPPS code. Can you please explain why this is happening and what corrective action should be taken to ensure reimbursement is... by Proactive LTC Consulting | Feb 6, 2024 | Blog, Compliance, Documentation, ICD.10, MDS, Nursing, PDPM, Reimbursement, SNF
PDPM coding and reimbursement success relies significantly on ICD-10 coding accuracy. In particular, the impact of ICD.10 coding on the clinical category, SLP, Nursing, and NTA comorbid diagnoses cannot be overstated; Medicare reimbursement for SNF services depends on... by Proactive LTC Consulting | Aug 23, 2023 | Blog, ICD.10, Medicare, PDPM, Reimbursement
PDPM has been in place for nearly four years, and with it came the shift from payment based on resource utilization to payment driven by patient characteristics and service provision. PDPM presents with many nuances and complexities that open the door to sinking... by Proactive LTC Consulting | Mar 22, 2023 | Coding, ICD.10, MDS, PDPM, Q&A
Q: We have a resident who we are skilling related to a recent femur fracture. The principal diagnosis is S72.22XD, which maps to the Non-Surgical Orthopedic/Musculoskeletal Clinical Category, but it states “May be Eligible for One of the Two Orthopedic Surgery... by Proactive LTC Consulting | Dec 7, 2022 | ICD.10, Q&A
Q: Did the ICD-10 codes for Dementia recently change? A: Yes, the FY 2023 ICD-10 updates (effective 10/01/22) include updated codes that provide greater specificity based on severity and behavioral symptoms present. The ICD-10-CM now classifies dementia on the... by Proactive LTC Consulting | Oct 4, 2022 | Coding, ICD.10, Q&A
Q: I’ve noticed when reviewing resident diagnoses for MDS Section I that several of the diagnoses are suddenly showing an error message. How do I correct this? A: CMS has revised several ICD-10 codes for the 2023 fiscal year. These codes became effective October 1,...