Ask Proactive – Our facility has had a couple claims come back with incorrect ICD 10 codes (i.e. Depression F32.9, cough r05 and low back pain m54.5). I notice that they have new digits added. Is there a resource to find new ICD-10 code changes?

Q: Our facility has had a couple claims come back with incorrect ICD 10 codes (i.e. Depression F32.9, cough r05 and low back pain m54.5).  I notice that they have new digits added. Is there a resource to find new ICD-10 code changes?   A: Each year, in October,...

Ask Proactive – We have a current patient receiving rehabilitation following a stroke. Her family signed her out for their Thanksgiving holiday meal, but kept her out overnight and didn’t return until the following evening. Her family is already asking how long they can have her out for attending their Christmas celebrations. We’re questioning if she can remain skilled if her family is able to care for her outside our SNF.

Q: We have a current patient receiving rehabilitation following a stroke. Her family signed her out for their Thanksgiving holiday meal, but kept her out overnight and didn’t return until the following evening. Her family is already asking how long they can have her...

Ask Proactive – How does a death impact the MDS assessment schedule? We had a resident that was here under Medicare A and the ARD for the PPS 5-day and Admission assessment was scheduled for the 8th day of the stay. She, unfortunately, passed away on the ARD. Do I still need to complete the 5-day/Admission?

Q: How does a death impact the MDS assessment schedule? We had a resident that was here under Medicare A and the ARD for the PPS 5-day and Admission assessment was scheduled for the 8th day of the stay. She, unfortunately, passed away on the ARD. Do I still need to...

Ask Proactive – How should the SNF count total volume, mode, and type of therapy in section O of the MDS for purposes of the discharge assessment when a patient’s stay included one or more interrupted stays?

Q: How should the SNF count total volume, mode, and type of therapy in section O of the MDS for purposes of the discharge assessment when a patient’s stay included one or more interrupted stays?   A: SNFs should report the therapies furnished since the beginning...