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Q&A: Surveyors are requesting proof that the baseline care plan summary was provided to the resident representative. What are the details of requirement to provide it?
Q&A: The revised SNFABN that will become mandatory in May looks nearly identical to the Part B ABN. Did CMS make a mistake?
Q&A: Can I combine an SCPC and the discharge assessment?
Q&A: I am being pressured to lie on the MDS. What actions can I take?
Q&A: On the second day of a Medicare Part A stay, a resident elected hospice and then she expired later that evening. What assessments do I need?
Q&A: Would it be appropriate to complete a staff assessment for the PHQ-9© if the BIMS has been deemed incomplete due to nonsensical or “no response” answers?
Q&A: How would you code a gradual dose reduction (GDR) if the physician agreed, but then the family refused to allow the medication to be reduced?
Q&A: A resident admitted and we completed a baseline care plan within the first 48 hours. Then, the resident discharged unexpectedly before 14 days. On reentry, will a new baseline care plan be required?
Q&A: I need clarification on coding side rails and alarms. Are either of these considered a restraint?
Q&A: A resident with history of opioid use reports horrible pain, but daily documentation does not support this. How do I accurately code the MDS and care plan?
Q&A: A VA resident was out for 24 hours over midnight and not admitted, but our VA contract does not recognize LOA days that are not pre-approved. Is a discharge assessment required?
Q&A: How do you develop the baseline care plan within 48 hours when a resident admits late on a Friday afternoon and there is no therapy coverage until Monday?
Q&A: Therapy treated the resident on the day of discharge. Are we able to include the therapy day and minutes on the MDS?
Q&A: Is it required that the physician sign the Therapy Plan of Care, Therapy Clarification Orders, and Therapy Discharge Summary?
Q&A: A Medicare Part A resident discharged against medical advice the same day of admission. What assessments are required?
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