FAQs

Q&A: CMS provided a waiver for the 3-day hospital stay and 60-day wellness period, can residents be put back on Medicare part A for a new 100 days?
Q&A: How can we prevent pressure ulcers that occurred during hospitalization from counting against us?
Q&A: I am the only MDS coordinator in my facility and had to self-quarantine due to exposure to COVID-19. Will we be penalized for late MDS completions and submissions?
Q&A: If there is no clear documentation for anxiety, but the resident is taking Clonazepam for anxiety, can we code anxiety disorder (Item I5700) on Section I?
Q&A: Following an interrupted stay, do we code the original therapy start date or do we code when therapy re-started on following the reentry?
Q&A: How many days does an antipsychotic have to be administered during the 7-day lookback period to affect the Quality Measures?
Q&A: If a resident has signs and symptoms meeting the UTI surveillance criteria and a specimen was obtained prior to the ARD, but the physician diagnosis of UTI was not received until after the ARD, would you code UTI on the MDS?
Q&A: Can we skill for a wound vac on a surgical wound that is monitored daily, but the dressing is only changed weekly?
Q&A: If a resident is receiving therapy under Medicare Part B in one facility and then is admitted to a sister facility which uses the same therapy company and therapists, would new therapy evaluations and therapy plans of care be required?
Q&A: A Medicare Part A resident left against medical advice and returned two days later. Would this be an interrupted stay?
Q&A: What are acceptable diagnoses for urinary foleys?
Q&A: If a resident discharges to the hospital and returns within the interrupted stay window, what date should the Medicare Start Date A2400B be entered as?
Q&A: If the physician diagnoses a resident with morbid obesity, but the dietitian disagrees, should the diagnosis be coded on the MDS?
Q&A: Are five distinct days of therapy required for the initial 5-Day assessment for new admissions to qualify for the therapy skilled services?
Q&A: Could I set the ARD of an IPA for a previous calendar day if our facility determined that day would be the most beneficial?

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