by Proactive LTC Consulting | Jul 28, 2020 | Blog, Medicare, PDPM, Q&A
Q: Do I have to restart the Medicare physician certification process when a resident qualifies for an interrupted stay? A: The requirements for physician certifications and recertifications for the SNF PPS stay did not change with the implementation of PDPM.... by Proactive LTC Consulting | Jul 15, 2020 | Blog, Education, MDS, PDPM, Q&A, RAI Manual
Q: How often do restorative progress notes need to be written? A: The RAI Manual, p. O-43 states, “Evidence of periodic evaluation by the licensed nurse must be present in the resident’s medical record.” Facility policy should determine the frequency of the... by Proactive LTC Consulting | Jul 8, 2020 | Blog, Education, MDS, PDPM, Q&A
Q: Can we query the MD AFTER the MDS assessment is completed for documentation of an active diagnosis, or does it have to be prior to the ARD? A: Unfortunately, the documentation needs to be present during the appropriate assessment reference period (which ends... by Proactive LTC Consulting | Jun 24, 2020 | Blog, Education, PDPM, Q&A
Q: Can I code TIA if a resident is receiving Eliquis routinely to prevent further TIAs A: In order for TIA to be considered an active diagnosis, the physician would need to specifically document that the diagnosis is active (and not by listing TIA on the... by Proactive LTC Consulting | Mar 25, 2020 | Education, PDPM, Q&A
Q: Where do we find guidelines on how to establish a baseline temp? A: Fever is defined as a temperature 2.4 degrees F higher than baseline. The resident’s baseline temperature should be established prior to the Assessment Reference Date. A temperature of 100.4... by Proactive LTC Consulting | Mar 25, 2020 | COVID-19, Documentation, MDS, PDPM, Q&A, Reimbursement
Q: How should isolation be coded on the MDS since there is guidance to restrict movement around the facility as part of the COVID-19 prevention plan? A: You cannot code isolation on the MDS if it is only in place to prevent contracting the COVID 19...