FAQs

Q&A: Are the PDPM rates still adjusted by a VBP adjustment factor and in cases where a provider fails to submit data required by the SNF QRP?
Q&A: Why is PT and OT payment higher for case-mix groups with higher functional independence in some cases?
Q&A: What are some notable differences between G and GG scoring methodologies?
Holiday Challenge Question: How would you document this toileting activity?
Q&A: Would I code isolation at O0100M if the resident has an infection in the uterus?
Q&A: Is it true that therapy co-treatment minutes are NOT calculated into a therapy RUG? How is the SNF reimbursed for co-treatment minutes?
Q&A: Is there a regulation in place that states the physician must attend the comprehensive assessment care conferences?
Challenge Question: How long will a fall with major injury trigger this Long Stay QM?
Q&A: What OBRA assessments are needed if a resident is on a therapeutic leave but was taken to the ER before returning to the SNF?
Q&A: If a resident refuses a breathing treatment, is this considered a potential clinically significant medication issue for the section N DRR items?
Q&A: How do we establish section GG goals when a resident is not on therapy’s caseload?
Q&A: Why am I receiving warning message, -3907, on the Final Validation Report when we did code at least one goal in section GG?
Q&A: We use half side rails to improve bed mobility and transfers. Am I correct to not code these as restraints because they are used as enablers?
Q&A: When a Medicare resident has more than one stay during an episode, does prior function (GG0100) and prior device use (GG0110) apply to the prior to admission entry or to the most recent Medicare reentry?
Challenge Question: Which of the following is the correct way to code the scripted interview items after a resident unexpectedly discharges back to the hospital?

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