by Proactive LTC Consulting | Jul 24, 2024 | Coding, MDS, Q&A
Q: Can I code fluids received in the hospital in section K for a diagnosis of Hypovolemia? A: Fluids coded in K0520A1 do have to be for nutrition or hydration. Oftentimes we may not see that specific verbiage in the hospital notes. In cases where the... by Proactive LTC Consulting | Jul 17, 2024 | 5-Star, MDS, Nursing, Pressure Ulcers, Q&A, Quality, Quality Measure, RAI Manual
Q: Patient was admitted with a stage IV pressure ulcer that healed (fully epithelialized) and several months later reopened at the same site. How should this pressure ulcer be staged when it reopens? A: According to the RAI Manual guidance for pressure... by Proactive LTC Consulting | Jul 10, 2024 | 5-Star, MDS, Nursing, Pressure Ulcers, Quality, Quality Measure
Pressure injuries, also known as pressure ulcers and bedsores, are a significant concern in nursing facilities, particularly among residents with limited mobility. The development of pressure injuries can be a reflection of the quality of care a resident receives,... by Proactive LTC Consulting | Jun 18, 2024 | Documentation, MDS, Nursing, PDPM, Q&A, Reimbursement
Q: We have a resident who has a progress note documenting that resident requested HOB to be elevated because when lying down flat he can’t “catch his breath.” He doesn’t have COPD but he does have pulmonary fibrosis which is listed on his hospital H&P and receives... by Proactive LTC Consulting | May 22, 2024 | Education, MDS, Nursing, Quality, Staffing
Recently, a poll was posted inquiring about upcoming retirement plans for MDS Coordinators and Directors of Nursing. The poll was posted in a closed Facebook forum, The MDS Coordinators Discussion Group, hosted by Jim Kilburn which represents over 19,000 post-acute... by Proactive LTC Consulting | May 8, 2024 | ICD.10, MDS, Medicare, PDPM, SNF
CMS issued corrections to the FY 2024 SNF PPS Final Rule PDPM ICD-10 Mapping. The document, which was issued and effective April 10, 2024, makes corrections to technical errors that are applicable beginning 10/1/2023. This correction document can be accessed at the...