by Proactive Medical Review | Jan 27, 2021 | 5 Star, blog, Education, Falls, Quality Measure, Webinars
Did you know that of the 1.6 million residents in U.S. nursing facilities, approximately half fall annually? (CDC) About 1 in 3 of those who fall will fall two or more times in a year. The CDC also indicates that one in every 10 residents who fall has a serious...
by Proactive Medical Review | Nov 12, 2020 | blog, Compliance, Education, QAPI
Under regulation §483.35 Nursing Services we find the regulatory requirement for sufficient and competent nursing staff at section §483.35(a)(3) which states “The facility must ensure that licensed nurses have the specific competencies and skill sets necessary to care...
by Proactive Medical Review | Jul 15, 2020 | blog, Education, MDS, PDPM, PDPM Coding Questions, RAI Manual
Q: How often do restorative progress notes need to be written? A: The RAI Manual, p. O-43 states, “Evidence of periodic evaluation by the licensed nurse must be present in the resident’s medical record.” Facility policy should determine the frequency of the...
by Proactive Medical Review | Jul 8, 2020 | blog, Education, MDS, PDPM, PDPM Coding Questions
Q: Can we query the MD AFTER the MDS assessment is completed for documentation of an active diagnosis, or does it have to be prior to the ARD? A: Unfortunately, the documentation needs to be present during the appropriate assessment reference period (which ends...
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...
