FAQs

Q&A: How will the 30-day window rule work under PDPM with the new Interrupted Stay Policy?
Q&A: Resident admitted status post lumbar laminectomy due to lumbar spinal stenosis with neurogenic claudication, what would the primary diagnosis be?
Q&A: Do we need written proof from the pharmacist that drug regimen/reconciliation took place for new Medicare Part A residents?
Challenge Question: Under PDPM, what assessment is required if there is a 3-day break in therapy services?
Q&A: I have noticed that there are many ICD-10-CM diagnosis codes that result in “return to provider" on the PDPM ICD-10 Mappings. Is it true that we cannot use these codes?
Q&A: A resident who is currently Managed Care will be converting to Original Medicare Part A at the beginning of the month—how does this impact the PPS schedule and benefit days?
Q&A: What is a deferred therapy order and how should it be written?
Q&A: Can therapy code section GG based on their clinical judgment of what the resident is capable of doing?
Q&A: Where can I find information on the data collection timeframes used for the Five-Star Quality Measures?
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?

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