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?

by | Mar 25, 2020 | Medicare, PDPM, PDPM Coding Questions

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...

PDPM Coding Question – How should situations, in which the 3-day qualifying hospital stay normally required for a covered Medicare admission to the SNF is waived due to the national emergency, be reported on the UB04 claim form?

by | Mar 18, 2020 | Medicare, PDPM, PDPM Coding Questions

Q: How should situations, in which the 3-day qualifying hospital stay normally required for a covered Medicare admission to the SNF is waived due to the national emergency, be reported on the UB04 claim form?   A: Providers that receive beneficiaries without a...

PDPM Coding Questions – If a resident has a BMI greater than 40 but the MD has not documented “morbid obesity”, can we enter the Z code for BMI in the MDS and receive the NTA point?

by | Mar 17, 2020 | Medicare, PDPM, PDPM Coding Questions

Q: If a resident has a BMI greater than 40 but the MD has not documented “morbid obesity”, can we enter the Z code for BMI in the MDS and receive the NTA point?   A: Yes, but as stated in the ICD-10-CM Code Book: BMI codes should only be assigned when the...

PDPM Coding Questions – If the dietitian completed a malnutrition assessment and the score indicates “at risk for malnutrition”, is the assessment considered sufficient supportive documentation to code Malnutrition in Section I if the physician were to review and sign the assessment form?

by | Mar 17, 2020 | Medicare, PDPM, PDPM Coding Questions

Q: If the dietitian completed a malnutrition assessment and the score indicates “at risk for malnutrition”, is the assessment considered sufficient supportive documentation to code Malnutrition in Section I if the physician were to review and sign the assessment form?...