Ask Proactive – I would like to code isolation for a resident who has COVID and was in single room isolation for 4 days in the look-back period. However, the therapy documentation reports 2 episodes of the resident walking in the hallway. Can we still code isolation?

by | Mar 3, 2021 | PDPM Coding Questions

Q: I would like to code isolation for a resident who has COVID and was in single room isolation for 4 days in the look-back period. However, the therapy documentation reports 2 episodes of the resident walking in the hallway. Can we still code isolation?   A:...

Ask Proactive – Do you recommend including concurrent therapy in your POC & rationale? For group tx, there is a separate CPT code. Many therapists may provide concurrent tx later in the plan of care when patient is safer.

by | Feb 24, 2021 | PDPM Coding Questions

Q: Do you recommend including concurrent therapy in your POC & rationale?  For group tx, there is a separate CPT code.  Many therapists may provide concurrent tx later in the plan of care when patient is safer.   A: Modes of Therapy are outlined in Chapter 3...

Ask Proactive – I have a resident with an active diagnosis of hyperglycemia who is receiving blood glucose monitoring and scheduled and sliding scale insulin during the 5-day assessment look-back period. Why is the NTA Case-mix Group NF (0 points)?

by | Feb 10, 2021 | PDPM Coding Questions

Q: I have a resident with an active diagnosis of hyperglycemia who is receiving blood glucose monitoring and scheduled and sliding scale insulin during the 5-day assessment look-back period. Why is the NTA Case-mix Group NF (0 points)?   A: Hyperglycemia alone is...

Ask Proactive – In order for us to capture in room isolation for our COVID positive residents, what is needed for supportive documentation? Also, is there a length of time this resident has to be in isolation in order to capture it?

by | Jan 27, 2021 | PDPM Coding Questions

Q: In order for us to capture in room isolation for our COVID positive residents, what is needed for supportive documentation? Also, is there a length of time this resident has to be in isolation in order to capture it?   A: The resident must have an “active”...