by Proactive LTC Consulting | 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? ... by Proactive LTC Consulting | Aug 7, 2024 | Compliance, MDS, Nursing, QAPI, Quality, Quality Measure, Reimbursement
In the fast day-to-day of managing nursing care and services, it’s easy for a a disconnect to develop between the Director of Nursing (DON) and the Minimum Data Set (MDS) Coordinator. This division is exacerbated when the DON is inexperienced in the MDS role, given... by Proactive LTC Consulting | Jul 17, 2024 | 5-Star, MDS, Nursing, Pressure Ulcers, Q&A, Quality, Quality Measure, RAI Manual
Q: Patient was admitted with a stage IV pressure ulcer that healed (fully epithelialized) and several months later reopened at the same site. How should this pressure ulcer be staged when it reopens? A: According to the RAI Manual guidance for pressure... by Proactive LTC Consulting | Jul 10, 2024 | 5-Star, MDS, Nursing, Pressure Ulcers, Quality, Quality Measure
Pressure injuries, also known as pressure ulcers and bedsores, are a significant concern in nursing facilities, particularly among residents with limited mobility. The development of pressure injuries can be a reflection of the quality of care a resident receives,... by Proactive LTC Consulting | Jan 31, 2024 | Blog, Depression, MDS, Nursing, Quality Measure, Reimbursement
The Minimum Data Set (MDS) plays a crucial role in influencing facility reimbursement, quality measures, and overall care quality. The accuracy of MDS coding is paramount, relying heavily on precise assessments and interviews. Accuracy in assessing and screening for... by Proactive LTC Consulting | Jan 24, 2024 | 5-Star, Blog, Coding, MDS, Quality Measure, Survey
Providers focused on Five Star improvement often look to the MDS department as a driver of Five Star performance. Let’s examine the potential impact of the MDS on facility star ratings and consider key focus areas for coding accuracy… Before jumping to the conclusion...