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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For Medicare Part A, what are the rules for moving an ARD? Can the ARD be moved back a day or is this backdating?
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If a resident dis-enrolls from a Managed Medicare plan to straight Medicare A, do we complete a 5-Day PPS MDS assessment? In addition, would the NTA (Non Therapy Ancillary) component triple for that period?
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Is an assistant allowed to report or change Section GG ? Can they fill that section out? Rationale is that if CNA’s can report then shouldn’t therapy assistants be allowed as well?
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Can you point me in the right direction where to find the “regulation/rule” that alarms are considered a restraint?
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Can we see a Med B and a Med A resident concurrently for treatment?
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I was asked to be on the restraint reduction committee in our facility and need some clarification. If a resident’s bed is against the wall, is this automatically a restraint? Does it make a difference if the resident couldn’t get out of bed even it was not against the wall? What about a “low bed?”
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Can a facility do a Quarterly MDS more often than “quarterly?” For example, if a Quarterly MDS is done, can another one be completed sooner than 3 months (ie:1 month later)? Our facility says that “6 weeks” is the time that must be between quarterlies but I can’t find it in writing.
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If our resident goes to the hospital and is there while the 92 day mark for the quarterly comes up, what do we do? Can we wait until they are back or will this be considered late?
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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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I work in a CAH with swing beds. Is there a mandatory frequency of visits or minutes needed per week to qualify for services?
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Q: Can a RN provide respiratory therapy services in the SNF and the minutes be counted on the MDS? (Sue R, RN)
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