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Need to brush up on the latest industry news? Look no further! Proactive Medical Review consultants provide up-to-date blog postings to keep you in the know.

The latest news, events, blogs and more…

Ask Proactive – We had a resident that was discharged home with family, return not anticipated. He suffered a fall after returning home, the family decided they could not care for him and readmitted him to our facility 8 hours after discharge. Since he wasn’t out after midnight, do we have to complete discharge/entry MDS assessments?

Q: We had a resident that was discharged home with family, return not anticipated. He suffered a fall after returning home, the family decided they could not care for him and readmitted him to our facility 8 hours after discharge. Since he wasn’t out after midnight,...

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Ask Proactive – Now that standard surveys are beginning to resume, will surveyors still conduct the annual survey if we have active COVID-19 cases in the facility and will it trigger them to combine a Focused Infection Control (FIC) Survey with the annual survey?

Q: Now that standard surveys are beginning to resume, will surveyors still conduct the annual survey if we have active COVID-19 cases in the facility and will it trigger them to combine a Focused Infection Control (FIC) Survey with the annual survey?   A: Yes,...

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Ask Proactive – If we have a resident who has a bed that is lowered very close to the floor, and we have a mat beside the bed, and the resident rolls or moves off of the bed onto the mat, is that considered a fall?

Q: If we have a resident who has a bed that is lowered very close to the floor, and we have a mat beside the bed, and the resident rolls or moves off of the bed onto the mat, is that considered a fall?   A: Unfortunately, as you will see in this section from the...

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Ask Proactive – I am seeking assistance for accurate coding of CVA at item I4500 of the MDS. The physician acknowledges history of stroke in his progress note during the look-back period. The patient also receives daily aspirin and requires ongoing medication management for stroke prevention, nurses monitor for potential side effects from medication including signs & symptoms of bleeding and bruising. Would this meet the criteria to code active condition CVA at I4500?

Q: I am seeking assistance for accurate coding of CVA at item I4500 of the MDS. The physician acknowledges history of stroke in his progress note during the look-back period. The patient also receives daily aspirin and requires ongoing medication management for stroke...

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