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 23, 2020 | Coding, MDS, PDPM, Q&A, RAI Manual
Q: I have NPO resident on tube feeding. He coughed during trials of nectar thick liquids per speech therapy. Should the MDS be coded for swallow problems? The RD says directions on the MDS RAI manual say “do not code if interventions are successful in treating... by Proactive LTC Consulting | Jan 22, 2020 | Coding, Compliance, MDS, PDPM, Q&A
Q: With section GG replacing Section G in October, will CNA ADL charting go away? A: CMS posted a new DRAFT version of the 2020 MDS item sets (v1.18.0) on December 20, 2019 in which Section G has been removed from all Federal item sets. This will help eliminate the... by Proactive LTC Consulting | Jan 22, 2020 | Compliance, Documentation, PDPM, Q&A
Q: Who would be the best person to lead the daily clinical meeting for new admissions? A: This may differ from facility to facility. The person would preferably be a clinician who has the most knowledge of the newly admitted patient(s). While this is usually the DON,...