by Proactive LTC Consulting | Mar 4, 2020 | Coding, MDS, Medicare, PDPM, Physicians, Q&A
Q: The physician documented dehydration on the discharge summary, however, the resident does not qualify for any of the 3 items listed in the RAI manual in J1550. Should dehydration be coded on the MDS? A: The coding for dehydration is based on the presence of... by Proactive LTC Consulting | Feb 18, 2020 | MDS, Medicare, PDPM, Q&A, Quality Measure
Q: If a physician diagnoses “sepsis” but no mention of septicemia, and blood cultures come back negative, can you still code “Septicemia” in I2100? A: When you search for septicemia in the ICD-10 coding guidelines, you are cross-referenced to see sepsis &... by Proactive LTC Consulting | Feb 7, 2020 | MDS, Medicare, PDPM, Q&A
Q: Can you continue to skill with a resolved diagnosis? We have been discharging resident from skilled services once the active diagnosis is resolved example: UTI, E. coli, and pneumonia. Are we correctly doing this? A: Providers should assess the resident’s... by Proactive LTC Consulting | Feb 4, 2020 | Medicare, PDPM, Q&A, SNF
Q: If a resident is cut from skilled services but a new skilled need arises during the interrupted stay window, would the facility be allowed to re-skill the resident? A: The Medicare Benefit Policy Manual, Chapter 8 states that “Another qualifying hospital... by Proactive LTC Consulting | Feb 4, 2020 | Medicare, PDPM, Q&A, SNF
Q: What would happen if the interrupted stay criteria was met, but the resident came back from the hospital with a new diagnosis? A: In order to utilize Medicare benefits, even if the criteria of the Interrupted Stay Policy have been met, the resident must... by Proactive LTC Consulting | Jan 14, 2020 | Blog, Medicare, PDPM, SNF
With focus primarily on successful implementation of the Patient Driven Payment Model (PDPM) in recent months, now is a good time to revisit the importance of a solid process for the Medicare Meeting, or Utilization Review Meeting. Under PDPM, some providers have...