by Proactive Medical Review | Apr 13, 2021 | Falls, MDS
Q: Is it required that the SNF primary diagnosis and the primary diagnosis for the qualifying hospital stay match? A: No, the SNF primary diagnosis and the primary diagnosis from the qualifying hospital stay do not need to match. We want to be sure we are...
by Proactive Medical Review | Apr 7, 2021 | Falls, MDS
Q: We had a resident that was discharged home with family, return not anticipated. He suffered a fall after returning home, the family decided they could not care for him and readmitted him to our facility 8 hours after discharge. Since he wasn’t out after midnight,...
by Proactive Medical Review | Mar 19, 2021 | 5 Star, MDS, Quality Measure
Q: If we have a resident who has a bed that is lowered very close to the floor, and we have a mat beside the bed, and the resident rolls or moves off of the bed onto the mat, is that considered a fall? A: Unfortunately, as you will see in this section from the...
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...
