Ask Proactive – During the COVID-19 Pandemic, some states have been allowing facilities to temporarily certify beds during the declared pandemic emergency for Medicare/Medicaid that were not already certified. Do MDS Assessments have to be completed for residents in these beds, that are only certified temporarily?

by | Jan 13, 2021 | IPA, PDPM Coding Questions

Q: During the COVID-19 Pandemic, some states have been allowing facilities to temporarily certify beds during the declared pandemic emergency for Medicare/Medicaid that were not already certified.  Do MDS Assessments have to be completed for residents in these beds,...

Ask Proactive – After completing the PPS 5-day assessment, a Medicare resident developed symptoms and tested positive for COVID-19 later in their stay. The resident was subsequently moved to the COVID (RED) unit in single room isolation. Should I complete an IPA?

by | Dec 29, 2020 | COVID-19, IPA, PDPM Coding Questions

Q: After completing the PPS 5-day assessment, a Medicare resident developed symptoms and tested positive for COVID-19 later in their stay. The resident was subsequently moved to the COVID (RED) unit in single room isolation. Should I complete an IPA?   A: Once...

SNF PPS Proposed Rule FY2021 Released

by | Apr 15, 2020 | CMS, IPA, PDPM, SNF

CMS issued the FY2021 SNF PPS Proposed Rule (effective October 1, 2020) on 4/10/20 with a 2.3% payment increase yielding an approximate increase of $784 million in payments to SNFS. Other changes to the code mappings for PDPM case-mix classification and updates for...