Harmony Healthcare Blog

Isolation: Coding Requirements and Supporting Documentation

Posted by The Harmony Team on Thu, Jul 27, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


This week’s hot topic is a resurfacing of the definition of coding of isolation.   We blogged about this in February, but it seems that questions continue to arise.  Let’s dig a little deeper into the RAI Criteria for coding Isolation with a focus on supporting documentation. 

Per the MDS 3.0 RAI User’s Manual, Isolation is coded only when the resident requires transmission-based precautions and single room isolation (alone in a separate room) because of an active infection (i.e., symptomatic and/or have a positive test and are in the contagious stage) with highly transmissible or epidemiologically significant pathogens that have been acquired by physical contact or airborne or droplet transmission. 

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Topics: Isolation

The MDS Coding Corner: Isolation Criteria

Posted by Kris Mastrangelo on Tue, Feb 14, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Harmony Healthcare International (HHI) chart audits across the country reveal a trend in MDS Coding of isolation.  Further scrutiny shows that these coding instances are sometimes lacking documentation to accurately support the coding, while at other times, the coding is a product of definition confusion. For clarification purposes, this blog discusses the coding of isolation or quarantine for active infectious disease (MDS item O0100M). 

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Topics: Isolation, Infectious Disease

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