FAQs

Q&A: Can the facility count services that were provided in the ER prior to the resident being admitted inpatient as "while in facility" if they were to complete an IPA upon return?
Q&A: A resident requested an expedited appeal on their NOMNC and is now on the 3rd level, do we continue to provide the skilled services (usually therapy) while awaiting the response from Medicare?
Q&A: Is there still a requirement for a five times a week therapy frequency for Medicare?
Q&A: How do I capture that therapy treatment since the IPA does not ask any skilled therapy questions?
Q&A: Can I code isolation when a resident is transported out to dialysis three times each week?
Q&A: Can the principal diagnosis be changed during a Medicare skilled stay, then be changed back once therapy is completed and the resident is back on Medicaid?
Q&A: Why is it suggested that I do not use a cheat-sheet for diagnoses that we commonly see in the SNF?
Q&A: Do the OBRA assessment schedules stay the same or does it all switch to just one assessment period for the whole stay unless we do the Interim Payment Assessment (IPA)?
Q&A: I have read and heard in multiple webinars and trainings that a dietitian can provide the diagnosis of obesity. Is this true?
Q&A: How does the MDS reflect when therapy has discharged or missed three days under PDPM?
Q&A: Can I set the ARD of a Significant Change in Status Assessment (SCSA) on the same day as the Interim Payment Assessment (IPA)?
Q&A: Can we use a "Z" code as a primary diagnosis?
Q&A: If a Medicare Part A resident returns during the interruption window, following a discharge return not anticipated, is a new OBRA Admission assessment required?
Q&A: What is the primary ICD-10-CM code to use when a resident has weakness related to sepsis, but the sepsis is resolved prior to SNF admission?
Q&A: Will the Medicare Physician Certification process will be changing as of October 1?

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