by Proactive Medical Review | Sep 13, 2021 | Q&A
Q: Is the monoclonal antibody infusion considered an IV med for MDS coding purposes? A: There has been a lot of confusion surrounding this. So far, what we know is monoclonal antibodies are considered IV medications and should be coded as such in O0100H....
by Proactive Medical Review | Sep 13, 2021 | 5 Star, blog, Compliance, Falls, Nursing, QAPI, Quality, Regulatory, SNF, Survey
F689 Free of Accident Hazards/Supervision/Devices has been the third most frequently cited F tag so far in the 2021 fiscal year per Casper data (9/5/21). 3,466 citations have been issued nationally for the 16.6% of providers surveyed. Scope and Severity has ranged...
by Proactive Medical Review | Sep 13, 2021 | blog, Compliance, COVID-19, Documentation, Medical Review, Medicare, SNF
On Sept. 8, 2021, CMS updated SE20011 (see p. 13) regarding Emergency SNF QHS and benefit period requirements under Section 1812(f) of the Social Security Act which were implemented to help restore SNF coverage for patients affected by the emergency. The update...
by Proactive Medical Review | Sep 8, 2021 | 5 Star, blog, Nursing, Quality Measure, Regulatory
The prevalence of pain in long-term care residents is estimated to range from 49% to 83%” (Fox, Raina, & Jadad, 1999). Chronic pain is the top cause of long-term disability in the US, and advanced age a key indicator of chronic pain risk (Ljubica Cvetkovska)....
by Proactive Medical Review | Sep 7, 2021 | Q&A
Q: What changes are being made to ICD-10-CM guidelines or codes for FY2022 that impact nursing facilities? A: The code change that will have the greatest impact on nursing facilities is the new code for unspecified depression, which is F32.A. Prior to 10/01/21,...
