Last year brought some significant changes in the way we code a urinary tract infection (UTI) in Section I of the MDS. When you are determining whether to code a UTI, at first glance, it seems pretty straightforward. However there are multiple factors included in the determination of coding.
The Level of Care (LOC) in the PointClickCare® Census and Rates resident tab is used for the management of No Pay and Exhaust claim billing for residents, after a Medicare Part A skilled stay. The LOC has no other function but to drive this process. Skilled Nursing Facilities (SNFs) are required to submit claims to Medicare for residents to report the benefit period even though no benefits may be payable. The Centers for Medicare & Medicaid Services (CMS) maintains a record of all inpatient services for each beneficiary, whether those services are covered by Medicare or not.