Every day there seems to be yet another alternative to level of care for people seeking assistance with healthcare and other essential living needs. While it may be confusing, the wide berth of available services is necessary for people to receive the most appropriate level of care. Let’s look at the services most widely used in healthcare today. Hospitals Of course this level is self-explanatory. If a patient has an acute (having severe symptoms and…
As providers of care and services in long-term care, we are all familiar with the Quality Assurance and Performance Improvement (QAPI) process for skilled nursing facilities. Initially, this quality improvement process required having the senior members of the facility management team meet at least quarterly to discuss resident incidents and accidents, any infectious disease management needed for either the residents or the staff, review of pharmacy issues, etc. However, beginning November 28, 2019, this process…
Welcome back to our blog series! The International Classification of Diseases, Tenth Revision, Clinical Modification, or ICD-10-CM, is a morbidity classification published by the United States for classifying diagnoses and reasons for visits in all healthcare settings. The Centers for Medicare and Medicaid Services (CMS) ICD-10-CM Official Guidelines for Coding and Reporting for Fiscal Year 2023 have the updated condition guidelines for coding and reporting. First, what is the difference between an Active medical condition and a History of a condition?…
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