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, Medicare, PDPM, PDPM Coding Questions
Q: Should PRF payments offset expenses on the Medicare cost report? A: No, providers should not adjust the expenses on the Medicare cost report based on PRF payments received. However, providers must adhere to HRSA’s guidance regarding appropriate uses of PRF...
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...
