by Proactive Medical Review | Sep 15, 2020 | blog, MDS, PDPM, PDPM Coding Questions
Q: If MDS Section GG documentation information is not filled out, can we use section G documentation to code Section GG? A: The difference between Section G & Section GG is more than one letter. Key variances include the steps for assessment,...
by Proactive Medical Review | Sep 9, 2020 | blog, MDS, PDPM, PDPM Coding Questions, Therapy
Q: What procedure should we follow if a staff member refuses to participate in our facility’s mandatory routine COVID-19 testing? A: It is recommended that your facility policy and procedure regarding COVID-19 testing is consistent with your policies for other...
by Proactive Medical Review | Sep 9, 2020 | blog, MDS, PDPM, PDPM Coding Questions, Therapy
Q: Does the resident have to have a cannula in their tracheostomy to be able to code O0100E tracheostomy care? A: No, they do not. According to page 0-9 pf the RAI manual, you can “code cleansing of the tracheostomy and/or cannula in this item”, so the presence...
by Proactive Medical Review | Sep 2, 2020 | blog, MDS, PDPM, PDPM Coding Questions, Therapy
A person-centered, comprehensive, and realistic plan of care is integral to ensuring an individual receives the best care possible. The insurgence of COVID-19 has complicated the care of those affected, either directly or indirectly in a myriad of ways. From common...
by Proactive Medical Review | Sep 2, 2020 | blog, MDS, PDPM, PDPM Coding Questions, Therapy
Q: Are days when therapy completes an evaluation only supposed to be counted as therapy days on the MDS? A: The day of evaluation should be counted in terms of determining the Therapy Start Date, but not counted as a “therapy day” if no direct treatment was...
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...
