by Proactive LTC Consulting | Mar 22, 2023 | Coding, ICD.10, MDS, PDPM, Q&A
Q: We have a resident who we are skilling related to a recent femur fracture. The principal diagnosis is S72.22XD, which maps to the Non-Surgical Orthopedic/Musculoskeletal Clinical Category, but it states “May be Eligible for One of the Two Orthopedic Surgery...
by Proactive LTC Consulting | Mar 15, 2023 | Antipsychotics/Psychotropics, Q&A
Q: For the Quality Measure “Percent of Residents Who Newly Received an Antipsychotic Medication (SS),” is the initial assessment used in the calculation always an Admission or 5-Day? A: For this measure, the initial assessment is the first assessment completed...
by Proactive LTC Consulting | Mar 6, 2023 | Infection, Nursing, Q&A
Q: We have a resident on Enhanced Barrier Precautions who will be staying at our facility long-term. Are there criteria for discontinuing these precautions at some point? A: It depends on why the Enhanced Barrier Precautions (EBP) were implemented. For...
by Proactive LTC Consulting | Feb 23, 2023 | Compliance, Physicians, Q&A, Regulatory
Q: We have a physician who has requested that all patients be seen in her office rather than on-site at the facility. Will this satisfy the physician visit requirements? A: The regulations do not specifically address a location requirement; however, according...
by Proactive LTC Consulting | Feb 21, 2023 | Nursing, Pressure Ulcers, Q&A, Reimbursement
Q: We have a patient with a stage IV pressure injury to the ankle that is being treated with a wound vac, which is changed 3x/week. Does this meet the criteria for skilled coverage under Medicare Part A in the SNF? A: The Medicare Benefit Manual Chapter 8...
by Proactive LTC Consulting | Feb 13, 2023 | Education, Q&A, Training
Q: Our facility has several residents that require the use of a mechanical lift for transfers. What needs to be included in staff education/training? A: Mechanical lifts are designed to provide safe and easy transfers. When used correctly, they minimize the...