MDS Alert
Select the Right Option for This Scenario
Try your hand at coding these two RAI User's Manual examples below: Scenario No. 1: "A resident has a Stage 2 pressure ulcer on the right heel and no other pressure ulcers." Scenario No. 2: "A resident has a pressure ulcer on the left trochanter that has 25 percent black necrotic tissue present, 75 percent granulation tissue present, and some epithelialization at the edges of the wound." Coding options and instructions: "Code 1, epithelial tissue: if the wound is superficial and is re-epithelializing. Code 2, granulation tissue: if the wound is clean (e.g., free of slough and necrotic tissue) and contains granulation tissue. Code 3, slough: if there is any amount of slough present and necrotic tissue is absent. Code 4, necrotic tissue (eschar): if there is any necrotic tissue (eschar) present." Source: RAI User's Manual Coding Quizzer Answer Scenario No. 1: You would code "1" (epithelial tissue) at M0700. "Rationale: Coding for M0700 is Code 1, (Epithelial tissue) because epithelial tissue is consistent with identification of this pressure ulcer as a Stage 2 pressure ulcer," states the RAI User's Manual. Scenario No. 2: You'd code a "4" (necrotic tissue) at M0700. "Rationale: Coding is for the most severe tissue type present, which is not always the majority of type of tissue. Therefore, Coding for M0700 is Code 4, (Necrotic tissue)," the manual directs.
MDS Alert
- Care Planning:
Revamp Risk Management for These 4 MDS 3.0 Areas
On the list: anticoagulant therapy and another med now coded in Section N. The MDS [...] - MDS 3.0 Trends:
CMS to Take a Close Look at Burden Imposed by Discharge Assessments
But the agency wants the nursing facility community to identify some of the root causes [...] - Payment & Compliance:
Take Your Medicare Meeting Productivity to a New Level
Tip: Make sure someone at the meeting knows if the resident has a clinical need [...] - Tool:
Template for Medicare Meetings Helps You Keep Info in a Row
Check out this tool for staying on top of what you need to know. - Assessment and Coding:
Stage Pressure Ulcers Correctly on the MDS 3.0 With These Key Strategies
Be aware of this difference between a stage 2 and stage 3. Staging pressure ulcers [...] - Risk Assessment:
Some SNFs Are Tapping Ultrasound Technology to Enhance Skin Assessment
The approach jumpstarts care plan interventions. Wesley Healthcare Center uses ultrasound scans as part of [...] - Compliance:
Make Sure These Documents Jibe for Rehab Residents
This documentation shortcut can cause ADL undercoding. Medical reviewers will likely look at more than [...] - Quality of Care:
Hone Your Behavioral Care Plan With a 'Scatter Plot'
This simple approach can provide the answer to why a resident is behaving aggressively. If [...] - Coding Quizzer:
Select the Right Option for This Scenario
Try your hand at coding these two RAI User's Manual examples below: Scenario No. 1: [...] - WHAT DO YOU THINK?:
Can You Count Therapy Assistance When Coding ADLs?
Question: Can a facility count ADL assistance provided by rehab therapists in the facility when [...] - Compliance Trends:
Beware RAC Scrutiny of These 2 Rehab-Related Areas in SNFs
Put this HHS OIG report on your radar screen. If you've been hoping that the [...] - MDS & Billing News
Have you incorporated this billing change? Effective for services with dates on or after Jan. [...]
