FAQs

Challenge Question: True or False about Medicare Part A?
Q&A: If a resident has an indwelling catheter because of colonized MDRO in their urine, but is not being treated for a UTI, would I still code this resident as having a UTI in section I?
Q&A: When a resident is discharged from Part A or Part B services and remains in the facility, what beneficiary notices are to be presented to be signed by the resident or representative?
Q&A: A resident elected hospice on 4/10, the Significant Change in Status Assessment (SCSA) is open for 4/15, but the resident passes away 4/17 prior to completion. Do I need to complete and submit the SCSA?
Q&A: What items, at a minimum, need to be on the baseline care plan that is provided to the resident/family?
Q&A: I was just notified that a resident switched from Original Medicare to an HMO over a month ago. Do I need to complete the missed Part A PPS Discharge assessment?
Q&A: If my patient is only receiving PT services, will I still receive a payment rate for the OT and SLP components under PDPM?
Q&A: If I have a resident who was treated for dehydration which was resolved during his or her hospital stay, but needed therapy for muscle weakness, can I assign an ICD-10 code for dehydration?
Q&A: Under PDPM, if we complete an IPA, and more points are achieved in the NTA component, will the first 3 payment days of the IPA have the adjustment factor of 3.0 like it will at the start of the Medicare stay?
Q&A: If the physician orders an exercise program, can I code that in section O under restorative?
Q&A: If a Medicare Part A resident exhausted benefits for a skilled PEG tube, is a 60-day wellness stay outside of a nursing facility (like at home) required in order to replenish their 100 days?
Q&A: How should the SNF count total volume, mode, and type of therapy in section O of the MDS for purposes of the discharge assessment when a patient’s stay included one or more interrupted stays?
Q&A: I was not aware of a conversion from the Medicare Advantage plan to Medicare at the beginning of the month, now I have a missed 5-day. What can I do?
Q&A: Would you code an open/closed blister from an adhesive reaction under OPEN LESIONS on the MDS for M1040D?
Q&A: Can I code for traumatic fracture and osteoporotic fracture at the same time if a resident has osteoporosis?

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