by Proactive Medical Review | Jan 14, 2020 | Compliance, PDPM, PDPM Coding Questions
Q: Is it correct that CNA’s are not allowed to complete section GG? Is it possible to have CNAs submit documentation to an RN who then completes the assessment for GG? A: As per the RAI – assess the resident’s self-care and mobility performance based on...
by Proactive Medical Review | 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 Medical Review | Jan 14, 2020 | Compliance, PDPM, PDPM Coding Questions
Q: When should the comprehensive care plan be completed if you are submitting MDS’ day 14 as best practice? A: As per regulation – a comprehensive care plan must be developed within 7 days after completion of the comprehensive assessment (Admission,...
by Proactive Medical Review | Jan 14, 2020 | blog, Compliance, Therapy
Hindsight is 20/20… this is something that comes to mind when taking a deep dive into the new and unforeseen National Correct Coding Initiative (NCCI) procedure to procedure (PTP) edits that were effective January 1, 2020. Without any warning, Capitol Bridge, LLC,...
by Proactive Medical Review | Jan 6, 2020 | blog, PDPM, PDPM Coding Questions, Uncategorized
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Is a pacemaker placement considered a major enough surgery to use the “aftercare following surgery on the circulatory system” code? A: It would generally be...
