by Proactive LTC Consulting | Feb 28, 2024 | MDS, Nursing, Pain, QAPI
Pain is a significant issue for many nursing home residents that can negatively impact quality of life when not appropriately managed. Unrelieved pain can lead to a decline in the resident’s function, cognitive, mood, behavior, and psychosocial status. An effective... by Proactive LTC Consulting | Feb 27, 2024 | Hospice, MDS, Q&A
Q: We have a resident who was admitted to the nursing home on 2/4/24 and scheduled their MDS admission assessment with an ARD (assessment reference date) for 2/11/24. They elected to enroll in a hospice program on 2/9/24. We know a significant change MDS assessment... by Proactive LTC Consulting | Feb 20, 2024 | ADL, CMI, MDS, Medicaid, Q&A
Q: We have a lot of residents on Scheduled Toileting. I’m worried we won’t get credit for them during our next CMI validation. What will I need to show our review nurse to receive credit? A: The RAI Manual MDS item H0200C, ‘Current Toileting... by Proactive LTC Consulting | Feb 14, 2024 | Compliance, MDS, Q&A
Q: When is it appropriate to use staff interviews on the MDS? A: For the four interviews on the MDS (BIMS, PHQ2/9, Activities, and Pain), direct resident input should be the primary approach as observations may be misleading. For instance, the RAI manual... 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 | Jan 31, 2024 | Blog, Depression, MDS, Nursing, Quality Measure, Reimbursement
The Minimum Data Set (MDS) plays a crucial role in influencing facility reimbursement, quality measures, and overall care quality. The accuracy of MDS coding is paramount, relying heavily on precise assessments and interviews. Accuracy in assessing and screening for...