Q & A – 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?

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...

PDPM Coding Questions – How should isolation be coded on the MDS since there is guidance to restrict movement around the facility as part of the COVID-19 prevention plan?

Q: How should isolation be coded on the MDS since there is guidance to restrict movement around the facility as part of the COVID-19 prevention plan?   A:   You cannot code isolation on the MDS if it is only in place to prevent contracting the COVID 19...

Coding Isolation on MDS

The RAI Manual provides clear instruction on the coding of isolation.  Documentation must support the medical necessity of isolation. Per the MDS 3.0 RAI User’s Manual, Isolation is coded only when: The resident requires transmission-based precautions AND Single room...

PDPM Coding Questions – I have NPO resident on tube feeding. He coughed during trials of nectar thick liquids per speech therapy. Should the MDS be coded for swallow problems?

Q: I have NPO resident on tube feeding. He coughed during trials of nectar thick liquids per speech therapy. Should the MDS be coded for swallow problems? The RD says directions on the MDS RAI manual say “do not code if interventions are successful in treating...