by Proactive Medical Review | Jul 1, 2020 | 5 Star, blog
Healthcare personnel (HCP) who are suspected or confirmed to have COVID-19 should meet the Centers for Disease Control and Prevention (CDC) Criteria for Return to Work for Healthcare Personnel with Suspected or Confirmed COVID-19 (Interim Guidance)[i]. Decisions about...
by Proactive Medical Review | Jun 24, 2020 | 5 Star, blog
As of mid-June, the only announcement that CMS has made regarding the 5-Star Rating system is that the Health Inspection rating is being held constant to include only data from surveys that occurred on or before March 3, 2020. Health inspections conducted after March...
by Proactive Medical Review | Jun 24, 2020 | blog, Education, PDPM, PDPM Coding Questions
Q: Can I code TIA if a resident is receiving Eliquis routinely to prevent further TIAs A: In order for TIA to be considered an active diagnosis, the physician would need to specifically document that the diagnosis is active (and not by listing TIA on the...
by Proactive Medical Review | Jun 24, 2020 | blog, Education
Q: Would C-diff be a qualifying diagnosis when coding Multi-Drug Resistant Organism (MDRO) in I1700? A: According to the Centers for Disease Control, C-diff is not considered a MDRO. Common MDRO’s include, Methicillin/oxacillin-resistant Staphylococcus aureus...
by Proactive Medical Review | Jun 23, 2020 | blog, CMS
Infection Control requirements are nothing new, but the Centers for Medicare and Medicaid Services (CMS) is ramping up efforts to identify and assist providers who may be performing poorly in infection control practices. Providers struggling to comply with...
