by Proactive Medical Review | Aug 10, 2020 | blog, PDPM, PDPM Coding Questions, RAI Manual
Q: We have isolated new admissions in our facility during the Coronavirus pandemic. Can we report and get “credit” for this precautionary isolation or does the resident have to have an active infection? A: Precautionary isolation should not be reported in the...
by Proactive Medical Review | Jul 15, 2020 | blog, Education, MDS, PDPM, PDPM Coding Questions, RAI Manual
Q: How often do restorative progress notes need to be written? A: The RAI Manual, p. O-43 states, “Evidence of periodic evaluation by the licensed nurse must be present in the resident’s medical record.” Facility policy should determine the frequency of the...
by Proactive Medical Review | Jun 8, 2020 | MDS, PHQ-9, RAI Manual
Q: When interviewing the resident using the questions in the PHQ-9, what do you do when they answer them all as “no”, but in the charting and documentation, you see they had episodes of crying or tearfulness, pain, insomnia, etc.? Is this information to be...
by Proactive Medical Review | Jan 23, 2020 | Coding, MDS, PDPM, PDPM Coding Questions, RAI Manual
Q: I have NPO resident on tube feeding. He coughed during trials of nectar thick liquids per speech therapy. Should the MDS be coded for swallow problems? The RD says directions on the MDS RAI manual say “do not code if interventions are successful in treating...
by PMR Team | Dec 31, 2019 | ICD.10, PDPM, PDPM Coding Questions, RAI Manual
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Does the Primary diagnosis code entered at I0020B also need to be entered as an active diagnosis at I8000? A: Yes, per the RAI guidelines for coding I0020, it...