Ask Proactive – The resident admitted with an unstageable pressure injury to the right heel. Now the pressure injury is stage 3. I coded stage 3 at M0300. Would the pressure injury be coded as present on admission?

by | Mar 5, 2025 | MDS, Nursing, Quality, Quality Measure

Q: The resident admitted with an unstageable pressure injury to the right heel. Now the pressure injury is stage 3. I coded stage 3 at M0300. Would the pressure injury be coded as present on admission?   A: If a pressure ulcer or injury is documented as...

Ask Proactive – My facility is triggering high for the Quality Measure: Prevalence of Behavior Symptoms Affecting Others, but we don’t have many behavioral issues in our population. Why is this happening?

by | Oct 9, 2024 | Coding, Documentation, MDS, Quality Measure, RAI Manual

Q: My facility is triggering high for the Quality Measure: Prevalence of Behavior Symptoms Affecting Others, but we don’t have many behavioral issues in our population. Why is this happening?     A: This measure may trigger if the most recent MDS is coded...

Ask Proactive – Our facility is triggering the UTI QM, and we have identified that many of these are the result of the hospital diagnosing a UTI that does not meet our infection criteria. Do we have to code those on the MDS if they occur during the look-back period?

by | Sep 18, 2024 | Coding, Q&A, Quality Measure, RAI Manual, Reimbursement

Q: Our facility is triggering the UTI QM, and we have identified that many of these are the result of the hospital diagnosing a UTI that does not meet our infection criteria. Do we have to code those on the MDS if they occur during the look-back period?    ...