(812) 471-7777 [email protected]

Ask Proactive – I am a Director of Nursing Services (DNS) juggling many responsibilities. What is the best way to support and oversee the MDS department?

by | Apr 1, 2026 | 5-Star, Coding, Compliance, Documentation, MDS, Nursing, Nursing Home Consultant, Quality, Quality Measure, Regulatory, Reimbursement, Survey

Q: I am a Director of Nursing Services (DNS) juggling many responsibilities. What is the best way to support and oversee the MDS department?   A: The most effective approach to overseeing MDS is to balance support, accountability, and clinical involvement with a...

Impact of Primary Diagnosis Selection on the Quality Measures

by | Mar 18, 2026 | 5-Star, Coding, Education, ICD.10, MDS, Medicaid, Medicare, Nursing Home Consultant, Quality, Quality Measure, Reimbursement, SNF

Impact of Primary Diagnosis Selection on the Quality Measures A well‑chosen primary diagnosis and accurate coding of all active diagnoses on the MDS does more than impact reimbursement. It shapes a resident’s clinical category, which in turn determines whether the...

Ask Proactive – One of the residents at my facility was sent out to the hospital in the afternoon and returned to the facility later that evening during the 30-day look-back for my MDS. On reviewing the ED paperwork, I saw that she was diagnosed with a UTI. Because this diagnosis came from the hospital, I understand that I do not need to find support for the McGeer criteria to code this at I2300. Is that correct?

by | Mar 11, 2026 | Coding, Compliance, Documentation, MDS, Nursing Home Consultant, Quality, Quality Measure, Reimbursement

Q: One of the residents at my facility was sent out to the hospital in the afternoon and returned to the facility later that evening during the 30-day look-back for my MDS. On reviewing the ED paperwork, I saw that she was diagnosed with a UTI. Because this diagnosis...