FAQs

Q&A: Are there specific guidelines for what would trigger a Significant Change in Status Assessment (SCSA) for a resident?
Q&A: A resident on Medicare Part A admitted with a stroke and later became COVID-19 positive. How and when do I set an IPA ARD?
Q&A: A resident on Medicare Part A discharged home, return not anticipated, and returned within 24 hours. Is this an interrupted stay?
Q&A: Our facility has a "COVID-19 unit" that is one large room divided by curtains. Can isolation be coded for these residents?
Q&A: Although an IPA is a standalone assessment (cannot be combined with PPS or OBRA), can we still combine it with a discharge assessment when it is an unplanned discharge?
Q&A: Can someone help me understand when to apply the COVID-19 "Encounter for screening and the exposure to" codes?
Q&A: How long does a pressure injury stay on Quality Measures (QMs)? It was captured several months ago and is now resolved. When it will come off our QMs?
Q&A: When a long-term care resident tests positive for COVID-19, can we skill the resident under Medicare Part A for nursing skilled services?
Q&A: A resident started a new benefit period using the benefit period waiver. Daily skilled care is now ending. Do I need to issue any of the beneficiary notices to take the resident off Medicare?
Q&A: We recently completed a Significant Change in Status Assessment (SCSA) for a resident with a prognosis of less than six months. Is another SCSA required with a hospice election today?
Q&A: Is the Part A PPS Discharge Assessment (NPE) or Interim Payment Assessment (IPA) required for insurance companies?
Q&A: All therapy is ending for a Medicare Part A resident. What assessments are needed to continue to skill for direct nursing services?
Q&A: A resident had a fall with a fracture and delayed healing. Can I code aftercare in I8000?
Q&A: Will a Fall with Major Injury remain on the Quality Measures (QMS) for 275 days even though the resident has been discharged?
Q&A: Can a resident ask for both an expedited appeal and a demand bill?

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