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 14, 2020 | Blog, Medicare, PDPM, SNF
With focus primarily on successful implementation of the Patient Driven Payment Model (PDPM) in recent months, now is a good time to revisit the importance of a solid process for the Medicare Meeting, or Utilization Review Meeting. Under PDPM, some providers have... by Proactive LTC Consulting | Jan 6, 2020 | MDS, PDPM, SNF
The Centers for Medicare & Medicaid Services (CMS) announced that a new DRAFT version of the 2020 MDS item sets (v1.18.0) has been posted. The most impactful change was removing Section G from all Federal item sets. This will help eliminate the coding... by PMR Team | Dec 31, 2019 | Medicare, PDPM, Q&A, SNF
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: If a resident discharges and returns from an interrupted stay do we start over on the Medicare certification? A: If the resident qualifies for the interrupted... by PMR Team | Dec 31, 2019 | Blog, Hospitals, PDPM, Q&A, SNF
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: We have a new Part A skilled admission who was treated for dehydration, weakness, and nausea during qualifying hospital stay. There are no other diagnosis...