How do you submit a correction request for a Modification of a Medicare - 5 Day that is over a year old?
How often is the 5-star report generated?
A resident had an unstageable heel pressure ulcer on the first day of the look-back period and on the last day of the look-back period it was healed. Per the RAI: ..."If a resident had a pressure ulcer/injury that healed during the look-back period of the current assessment, do not code the ulcer/injury on the assessment." Since the pressure ulcer was documented as unstageable on the first "look-back" day and then healed on day #7, it would not be coded.
Does rehab need to do a new evaluation for a Resident on an interrupted stay if they were out for more than 24 hours?
Can a resident be skilled for Medicare Part A and receive hospice care?
Coding errors were discovered going back to 2020 when a resident first enrolled in hospice services. The prior staff member did not code hospice on any MDS assessment from that time and the resident continues on hospice services. Do we need to submit modifications for all of the MDS and add hospice? What is the requirement to correct these assessments?
Is an End of PPS Part A Stay MDS required for Medicare Advantage Plans?
A resident was recently re-admitted to a facility. A month prior to the readmission, the resident had a fall and sustained a fracture. J1700A was coded as Yes. Should J1700C have been coded Yes as well? because it is 0-180 days preceding the Recent Entry date?