Q:

Is it required that the SNF primary diagnosis and the primary diagnosis for the qualifying hospital stay match?

 

A:

No, the SNF primary diagnosis and the primary diagnosis from the qualifying hospital stay do not need to match. We want to be sure we are assigning the most appropriate diagnosis that is supporting the resident to continue coverage in a SNF and not at a lower level of care.

 

Blog by Jessica Cairns, RN, RAC-CT, CMAC, Proactive Medical Review

Click here to learn more about Angie and the rest of the Proactive team.