FAQs

Q&A: In section I, do we need a physician’s diagnosis for “risk of malnutrition,” or can we use the dietitian's assessment to code in section I?
Q&A: A resident uses two half-siderails when in bed but is not able to remove the siderails once they are up. Should the siderails be coded as a restraint in section P?
Q&A: A resident on Medicare Part A discharged home on Oct. 7 and readmitted back to our facility on Oct. 9. Is this an interrupted stay? Should I do a 5-Day or an IPA?
Q&A: Our state is requiring PDPM data on OBRA assessments. Is section GG collected on only Medicaid residents or for all payer types?
Q&A: Are the Quality Measures (QMs) still frozen? If so, does anyone know how long they will remain frozen?
Q&A: A resident already had their Medicare benefit extended related to COVID-19. Can this same beneficiary receive another 100 days using the waivers?
Q&A: Therapy completed an evaluation and determined PT services were not needed, but reported individual treatment minutes—can this be coded on the MDS?
Q&A: If a resident discharges return anticipated and it is not an interrupted stay, should the therapy end date be dashed, or should the discharge date be entered in O0400?
Q&A: If a resident has orders to receive an altered consistency of medications, would this be coded at K0510C, mechanically altered diet?
Q&A: Under PDPM, do I complete the PPS Discharge Assessment (NPE) when therapy ends or wait until the Medicare stay ends?
Q&A: How do I determine if this is an interrupted stay and what discharge assessments are needed?
Q&A: Our facility was not notified timely of a change from managed care to Medicare Part A. Can we bill Medicare Part A for any of the days?
Q&A: How do Part B minutes get captured on the MDS?
Q&A: If an alert and oriented resident wheels himself in and out of his room, to the dining room, and out onto the patio, is that wandering (E0900)?
Q&A: Do interrupted stays apply to Medicare Advantage Plans?

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