FAQs

June Challenge Question
Q&A: We always schedule the 5-day ARD on day 8, but therapy wants us to move it to day 5. Should we make this adjustment?
Q&A: If a resident appeals a notice for Medicare Part A coverage ending, should we complete the PPS Part A Discharge based on the last covered day or wait for a decision?
Q&A: A resident was skilled for therapy and wound care, then skilled for wound care only, and now will be skilled for therapy again. How should I schedule the COT dates?
Q&A: Which denial notices should you give when a resident is ending Medicare Part B therapy?
Q&A: Can we bill Medicare for a Part A resident who discharged the same day as admission? If so, what assessments are required?
Q&A: A resident discharged to the hospital in the middle of the look-back period for the Quarterly assessment. Do I need to move the ARD?
Q&A: Should a camera monitoring a resident while in bed be coded as an alarm if used as part of a fall prevention program?
Q&A: How is section GG coded if a Medicare Part A resident admits and discharges before day three of the stay?
Q&A: Are providers allowed to “save” Medicare days for times when the resident has a more pressing skilled need?
Q&A: A Medicare Part A resident switched to Managed Care on the first of the month. Do I restart or continue the PPS assessment schedule?
Q&A: Has the care plan format changed from a problem, goal, and approaches model to a narrative structure?
Q&A: If a resident has a newly healed surgical scar over a bony prominence, should it be coded at M0100A?
Q&A: What date is used for the 30- and 180-day look-back periods used to determine weight loss and gain in section K?
Q&A: A resident expired in the hospital less than 24-hours after leaving the facility. What assessments are needed?

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