SNF Rehab & MDS Experts answer YOUR questions.
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Most Recent Questions Listed Here
“Screens in general. Are they “hands off”? Where did that rule come from? Can we not transfer a patient if asked to complete a transfers screen? In your opinion what is the intent of a screen?”
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“Question on GG coding Prior Level of Function: Will writing a lower prior level of function versus a higher prior level of function affect reimbursement outcomes? I’m being told to document a lower level of function if we don’t have the exact history, and this will help improve quality measures?”
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“What are the rules for annual calibration of therapy equipment? I cannot find any regulation on this. We do have modalities calibrated like e-stim, US, SWD, dynamometers…. but do we need to do electrical mat tables? The cord to the heat gun for splinting? In all my years I’ve never had anyone look at this. “
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Q: For a Medicare patient who went out to acute from our SNF, is it a literal 72 hours or 3 midnight rule to create a new 5 day ARD? Example: A patient was sent back to acute on Jan 26th at 2PM and came back at 1AM of 28th.“
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Q: Clarification needed! An expert in the field of “outpatient therapy” provided education stating “a new evaluation is NOT required when a patient changes insurance. How does this apply to transitions between Medicare Part A and Part B in the SNF setting? (AH, Director)
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Q: My team is struggling with understanding the DC function score and what is important to consider at eval and then DC. Do you have any resources or tools to help? (KM, Regional)
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Q: How is Section GG coded when there is very little documentation in the record, or if the documentation shows a wide range of performance?
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Q: When a Part A resident transitions from Part A to Part B, is a new evaluation required? Is there a CMS policy on this?
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Q: Is a Medicare Part A resident with therapy orders for 5 days per week “allowed” to miss a visit for a Federal Holiday, or any other reason?
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Q: Are clarification orders for therapy necessary in the SNF?
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*Please note that when we receive multiple questions about the same topic (and we do!), we select one question and answer to post here to represent all questions submitted for that category. However, each Member submitting a question will receive a personal email response!