MDS Alert
Understand this Acronym to Code Heart Failure Successfully
PDF
Question: A resident presented with dyspnea and peripheral edema and her clinical record notes that she has had a cough for about two weeks. The physician performed an exam and found that the dyspnea has been happening for several months and is worse on exertion. The physician ordered an ECG and chest X-ray, as well as brain natriuretic peptide (BNP) tests. He documented a diagnosis of HFrEF in the documentation, indicating heart failure. Which ICD-10 code should we report? New Mexico Subscriber Answer: When the physician writes HFrEF, she’s referring to the acronym for heart failure with reduced ejection fraction, which is also known as systolic heart failure. When a resident has systolic heart failure, the left ventricle of her heart is not able to contract normally, so her heart can’t pump with enough force to push enough blood into circulation. If you look under ICD-10-CM category I50.2- (Systolic (congestive) heart failure), you will see two included conditions: heart failure with reduced ejection fraction (HFrEF) and systolic left ventricular heart failure. This is where your HFrEF acronym comes into play. When you are reporting systolic congestive heart failure, look to the following code choices: If the physician doesn’t have any additional details in the documentation, you should ask for more information to select the right code.
MDS Alert
- PDPM:
Start These PDPM Preparations ASAP
Check your readiness for PDPM by covering these bases. With the patient-driven payment model (PDPM) [...] - PDPM:
Know How Section GG Will Become More Significant
Pay attention to the changes involved in utilizing Section GG. You’ve had nearly three years [...] - Government Updates:
Look for New RAI Manual, OIG Briefing
CMS is continually focusing on facilities improving resident safety and health. If you are wondering [...] - ICD-10 Focus:
Understand Arrhythmia to Distinguish Fibrillation From Flutter
Hint: Knowing these particulars will make coding easier. Atrial fibrillation and atrial flutter are both [...] - Surveys and Compliance:
Learn These QAPI-Related Ftags To Ensure Compliance
Make sure you have these policies and procedures down pat before Phase III of ROP [...] - Clip and Save:
Know These Important Regulations Surrounding QAPI Ftags
Fully understand these expert tips so you can play by surveyors’ rules. If a facility [...] - Clip and Save:
Ground Yourself with This Exercise
Battle burn-out with these suggestions from a fellow nurse. All of your responsibilities can add [...] - Reader Question:
Understand this Acronym to Code Heart Failure Successfully
Question: A resident presented with dyspnea and peripheral edema and her clinical record notes that [...] - Reader Question:
Forgetting This MDS Item May Mean Rejection
Question: I recently submitted an MDS assessment with my facility’s software and received the following [...] - Reader Question:
This Metric Follows for Months
Question: A couple of residents in my facilities have fallen in the past six months, [...] - Reader Question:
Catch this New Name for Common Bacterium
Question: I don’t often think about the full name of C. diff but with all [...] - Reader Question:
Don't Make This Correction Mistake
Question: In our facility, certified nurse assistants (CNAs) do a lot of the charting for [...]