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August Challenge Question
Q&A: We received a letter for non-compliance with SNF QRP requirements, can we make any corrections now?
Q&A: Can we initiate a restorative program if a resident is receiving therapy services?
Q&A: Several days after a fall, we found out the resident had sustained a fracture and as a result the resident was discharged to the hospital. Do I code this injury on the discharge assessment?
Q&A: How should we code a resident who is independent with eating during the day, but is total dependence for nightly tube feeding?
Q&A: Is a COT considered a “prior assessment” when looking back to the last assessment to code MDS item M0900, healed pressure ulcers?
Q&A: Can the therapy minutes and day be counted in the 7-day look-back period when a resident was out at midnight on a therapeutic leave the day of treatment?
Q&A: A pressure ulcer is currently unstageable due to slough/eschar. If the pressure ulcer is restaged to a stage 3 or 4 after debriding, would a SCSA be required and is it still present on admission?
July Challenge Question
Q&A: Our facility lost 2% of the Medicare annual payment update due to noncompliance with the SNF QRP. How can we determine what caused our low percentage?
Q&A: A resident recently started on antibiotics following complaints of dysuria with a urine analysis showing abnormal leukocytes and culture showing positive for one organism. Can I code as a UTI?
Q&A: Is therapy three times per week under Medicare part B considered a skilled service that would prevent a wellness period from starting?
Q&A: If a resident is on a fluid restriction due to hyponatremia, would this be coded as a therapeutic diet at K0510D?
Q&A: Would a Licensed Clinical Marriage and Family Therapist (LCMFT) or a Licensed Clinical Professional Counselor (LCPC) qualify for psychological therapy minutes at MDS item 0400E?
Q&A: The state case-mix reviewer said that our restorative programs need to be more “in-depth.” What does this mean?
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