by Proactive Medical Review | Feb 3, 2021 | blog, Documentation, MDS, Medical Review, Medicare, PDPM, Reimbursement
They say hindsight is 20/20. Most are glad to see 2020 go; it’s certainly been a challenging year. After the first full calendar year of the Patient-Driven Payment Model (PDPM), several key takeaways in terms of successful implementation strategies have become clear....
by Proactive Medical Review | Oct 19, 2020 | blog, Coding, Compliance, Documentation, MDS, Medical Review, Medicare, PDPM, Reimbursement
Has nursing documentation and internal auditing suffered due to COVID-19 prevention or outbreak efforts? Many facilities have had to prioritize staff and resources in order to meet the challenge of the public health emergency and the many additional responsibilities...
by Proactive Medical Review | Oct 13, 2020 | 5 Star, Falls, MDS, Quality Measure
Falls management presents one of the greatest challenges to the long-term care profession. Preventing and managing falls in the facility is difficult enough without adding the increased complication of QM data that might not accurately reflect the true facility...
by Proactive Medical Review | Oct 13, 2020 | blog, Coding, MDS, PDPM, PDPM Coding Questions
Q: Why am I receiving this error message for submitted OBRA assessments on my Final Validation Report? MDS 3.0 Item(s): Z0100B, RECALCULATED_Z0100B Item Values: 1.0007, 1.0008 Message Number: -3935b WARNING Message: Incorrect RUG/PDPM Version: The submitted...
by Proactive Medical Review | Oct 7, 2020 | 5 Star, blog, Coding, Depression, MDS, Quality Measure
Percent of Residents Who Have Depressive Symptoms (Long Stay) Background The Long Stay Quality Measure, Percent of Residents Who Have Depressive Symptoms reports the percentage of long-stay residents – those whose stay is 101 days or more – who have had...
by Proactive Medical Review | Oct 7, 2020 | blog, Coding, MDS, PDPM, PDPM Coding Questions
Q: Our IDT team writes a progress note for section GG collaboration. Can the note generally state, “Section GG codes vary but IDT team have collaborated to decide on appropriate GG coding for MDS?” A: This statement may need to be more detailed for usual...
