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...

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?

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?

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...