Comments for Functional Pathways | Therapy that exceeds expectations

Comment on The Interrupted Stay by Gina Tomcsik

Gina Tomcsik — Fri, 14 Feb 2020 19:27:37 +0000

This blog was referring to CAHs with swing beds. If you have questions specifically to your setting, you may contact Anthony Hodge at 410-786-6645 or reach out to your state RAI assessment coordinator. The link is: https://www.cms.gov/files/document/appendix-b-12262019.pdf.

Comment on The Interrupted Stay by Joy Reagan

Joy Reagan — Fri, 07 Feb 2020 17:06:41 +0000

Please tell me where in the RAI manual does it say The interrupted stay policy does NOT apply to Swing Bed providers. Billing department is questioning regarding a recent Swing Bed patient. Marion General Hospital is not a critical access hospital.

Comment on MDS Section J is no “J”oke! by Gina Tomcsik

Gina Tomcsik — Fri, 07 Feb 2020 13:06:51 +0000

In reply to Naomi Gregory. No, a pacemaker surgery involves a small skin incision and the recovery is quick. It is not considered a major surgery

Comment on MDS Section J is no “J”oke! by Naomi Gregory

Naomi Gregory — Fri, 07 Feb 2020 11:53:48 +0000

Is pacemaker placement considered a major surgery?

Comment on Interim Payment Assessment by Gina Tomcsik

Gina Tomcsik — Tue, 10 Dec 2019 16:29:38 +0000

In reply to Flora Emberton. As long as you have completed your initial Medicare assessment (5-day), you can complete an IPA. The IPA will change the payment beginning on the IPA ARD. Per the RAI Manual instructions, the ARD decision is the provider's decision so you can set it when you want. Keep in mind that you will also need the BIMS and PHQ-9 interviews and section GG information for the IPA so you technically wouldn't be able to set the ARD any earlier than today's date or forward, not retrospectively.

Comment on Interim Payment Assessment by Flora Emberton

Flora Emberton — Tue, 10 Dec 2019 14:37:44 +0000

I am going to complete an IPA to capture IV meds that are for 10 days, when do I need to do an IPA after IV meds are complete?

Comment on MDS Section J is no “J”oke! by Gina Tomcsik

Gina Tomcsik — Thu, 21 Nov 2019 18:31:24 +0000

In reply to Lauren Denning. No, a chest tube insertion is not considered a major surgery.

Comment on MDS Section J is no “J”oke! by Lauren Denning

Lauren Denning — Thu, 21 Nov 2019 18:07:40 +0000

Is chest tube insertion after a pneumothorax/hemothorax from bicycle accident under local anesthesia considered a major surgery.

Comment on MDS Section J is no “J”oke! by Gina Tomcsik

Gina Tomcsik — Thu, 21 Nov 2019 16:59:33 +0000

In reply to Kerri Howard. Cardiac Catheterization is not considered a major surgery because there is no large surgical incision and it has a very short recovery time.

Comment on Interim Payment Assessment by Gina Tomcsik

Gina Tomcsik — Thu, 21 Nov 2019 16:55:34 +0000

In reply to Fran Kramer. Therapy does not need to complete a new evaluation when an IPA is completed and they should not complete a discharge for the Medicare A stay up to the ARD for the IPA.