Q: For patients receiving emergent care for altered mental status of unknown cause, what is the correct response for M2310? A: M2310, Reason for Emergent Care, reports the reason the patient sought emergent care. Without having a complete picture of the patient’s condition, response 17 – Acute mental/behavioral health problem may be an acceptable response.
Continue reading...Thu, May 5, 2011
Q: When a patient stays 24 hours or less at the hospital do we have to discharge and readmit? A: There is no federal regulation that requires a patient to be discharged and readmitted if the patient is admitted to the hospital regardless of length. Agency policy might set specific criteria. If a patient is [...]
Continue reading...Mon, Apr 11, 2011
Q: In regard to M1860, if the patient is homebound and is able to independently walk, needs no human assistance or assistive device, can I mark “0″? I have read that M1860 on the start of care can’t be “0″ and could be considered a red flag. What should be my best answer? A: Indicating [...]
Continue reading...Thu, Feb 24, 2011
Q: For (M1730) Depression Screening, for what situation would a response of “NA” be used as opposed to a response of “0″? A: For (M1730) Depression Screening, a response of “NA” to the PHQ-2 scale would be used in patients who are unable to respond to the assessment, as in patients who are unresponsive. A [...]
Continue reading...Mon, Feb 7, 2011
Q: Is there any written guidance regarding resumption of care (ROC) orders. If the discipline visit frequency after the ROC does not change from the frequency that was on the CMS-485, is a ROC order for visit frequency needed? A: There is no requirement to generate a new plan of care upon resumption of services [...]
Continue reading...Fri, Feb 4, 2011
Q: If patient uses walls and furniture as support because he/she doesn’t have an assistive device, what is the best answer for M1860? A: For (M1860) Ambulation/Locomotion, if a patient does not have an assistive device but is clearly not safe walking alone, Response 3, able to walk only with the supervision or assistance should [...]
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Mon, May 9, 2011
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