by Proactive LTC Consulting | Jun 10, 2024 | Coding, ICD.10, Q&A
Q: One of our long-term residents fell and fractured their femur requiring a hip replacement. They returned to our facility on a skilled stay. The IDT met and were discussing a primary diagnosis. Therapy believes we should use Z47.1 Aftercare following joint... by Proactive LTC Consulting | Jun 4, 2024 | Medicare, Q&A, Therapy
Q: We have a patient who has achieved ambulation in the hallways at supervision level using a walker. Our new case manager is insistent that we discharge as soon as possible, or our services could be denied by Medicare. The patient wants to return to PLOF, independent... by Proactive LTC Consulting | May 29, 2024 | Compliance, Q&A
Q: What are the best practices to prevent a deficiency, especially an Immediate Jeopardy, related to CPR? A: One of the most critical components in preventing a deficiency related to CPR is communication. The facility must ensure that the resident’s... by Proactive LTC Consulting | May 21, 2024 | Compliance, Dietary, Q&A
Q: What steps should be taken when a resident chooses not to comply with diet or fluid restrictions? A: According to the State Operations Manual (SOM), under F553 ‘The Right to Participate in Planning Care,’ a resident has the right to select or refuse... by Proactive LTC Consulting | May 8, 2024 | Admissions, Medicare, Q&A
Q: Is it best practice to have witnesses write their own statements for incidents or investigations or to write these statements for them? A: Deciding whether to have witnesses write their own statements or not is going to depend on your specific state... 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...