by Proactive LTC Consulting | Jul 7, 2021 | Audits, Blog, Coding, Compliance, ICD.10, MDS, Reimbursement
Even though SNFs have collectively seen higher reimbursement rates under the Patient-Driven Payment Model compared to the previous RUG IV payment model, data shows that there is still room for improvement for most facilities in terms of ensuring accurate revenue under... by Proactive LTC Consulting | Jun 1, 2021 | Blog, COVID-19, MDS, Quality Measure
To manage COVID-19 transmission among residents, nursing facilities had to enforce social distancing between residents, their family and friends, and in certain circumstances, even residents and caregivers. The extended quarantine caused social isolation with adverse... by Proactive LTC Consulting | May 12, 2021 | 5-Star, Blog, COVID-19, MDS, Nursing, Quality Measure, Weight Loss
As reported by the CDC, chronic lower respiratory disease and respiratory infections are leading causes of morbidity and mortality in the elderly, and perhaps unsurprisingly, provisional data indicates COVID-19 was the third leading cause of death in 2020. Given the... by Proactive LTC Consulting | May 12, 2021 | MDS, Q&A
Q: When should I code respiratory failure in Section I of the MDS? A: To code any active diagnose in Section I, RAI manual requirements must be met including MD documented diagnosis in the last 60 days & supporting documentation that the diagnosis is active... by Proactive LTC Consulting | May 12, 2021 | 5-Star, Blog, COVID-19, MDS, Nursing, Quality Measure, Weight Loss
The COVID-19 Pandemic has impacted rates of weight loss in long-term care facilities both directly and indirectly. Prior to the onset of the pandemic, the Quality Measure ‘Percent of Residents Who Lose Too Much Weight’ was 5.8% at the national average (QIES Database... by Proactive LTC Consulting | Apr 13, 2021 | Falls, MDS
Q: Is it required that the SNF primary diagnosis and the primary diagnosis for the qualifying hospital stay match? A: No, the SNF primary diagnosis and the primary diagnosis from the qualifying hospital stay do not need to match. We want to be sure we are...