by Proactive LTC Consulting | Dec 15, 2020 | Blog, ICD.10, PDPM
Diagnosis coding accuracy is paramount to appropriate payment under PDPM, as ICD-10 Diagnosis codes & other patient characteristics are used as the basis for classification in determining Medicare (MCR) payment. The 5-day/Initial MDS establishes the PDPM payment... 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 | May 12, 2020 | Blog, Education, ICD.10, MDS
Q: Can you use a “Z” code as a primary diagnosis under PDPM and map to a Clinical Category? A: The ICD-10-CM Coding Guidelines state that some Z-codes can be primary. There are many Z-codes that would not be appropriate to use as primary diagnoses... 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... 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...