More questions from the newbie... I love you all !!!!

Talino · Dec 11, 2010

on part A at the bottom .... when it asks if this is a medicare elligible stay do we only code yes for actual medicare recipients or do we code yes for all skilled residents regardless of payor source????

A2400A, code yes ONLY if Medicare A is paying for the skilled service. A skilled service may be provided under Part B, HMO Medicare advantage plans, by a private insurer, or the resident. However, it will be coded as NO.

next question.... do psychotherapeutic agents such as namenda or aricept get coded for the psychotropic section... or just meds such as seroquel or Librium ?????

Namenda and Aricept are not psychotropic meds. Classification of Psychotropic Meds

last question... I have been submitting an entry tracking form on every resident on admission.... then for my skilled I have been doing a 5d/adm combined.... my validation report is coming back error in sequence ???? The only thing I can think of is that I should be coding the tracking form as a "1" yes for is this first assessment (I have been coding it 0 since to me it really isnt an assessment)and the 5day/adm as the first) is this what is causing my error????? do I need to go back and fix all of them ???? or keep going ????

"0" is the correct code for entry tracking. The "warning" happens when both assm'ts are submitted at the same time and the system reads the 5-day first before the Entry. As long it's not FATAL, ignore.

oh , one last question for Keane users.... no info carries over from one assessment to the next like it did in 2.0... all assessments are 100% needing to be filled in every blank, every time ... is this something wrong with my settings or is this true for everyone ???? Nothing will carry over except for a few items on section A..... not even adm dates or flu vac dates etc.....

Some clients may not want the "carry over" feature to deter copying. But this is a simple fix from your vendor, although some vendors are still tweaking their software. Your facility paid big bucks for the software on contract. The vendor will gladly assist you to maintain your business.

I lied.... one more last question came to mind....
If a patient returns with a dx of sepsis .... is that coded as "septicemia" on the dx page ... I have been told conflicting answers ..... are the terms interchangeable... or not ?????

Interchangeable or not, capture only the diagnosis written by the MD. Let alone, the ICD9 varies: Sepsis - 995.91, Septicemia - 038.*