Hey Brianna! I know we discontinue codes at our agency if they are resolved, but I can’t speak to regulatory answer to this.  

From: medicarewkgp@list.mnhomecare.org <medicarewkgp@list.mnhomecare.org> On Behalf Of Brianna Lindell
Sent: Tuesday, April 18, 2023 9:55 AM
To: medicarewkgp@list.mnhomecare.org
Subject: FW: Removing ulcer/wound diagnoses

External Email

Hi,

Would anyone be able to help with the below question? See the first email.

Thank you. 😊

Brianna Lindell

Regulatory Affairs & Advocacy Manager

Minnesota Home Care Association

1265 Grey Fox Road, Suite 2 | Arden Hills, MN 55112-6929

Direct: 651.240.3380 | Main: 651.635.0607

www.mnhomecare.org | blindell@mnhomecare.org

From: Haas, Marie J <Marie.Haas@EssentiaHealth.org>
Sent: Tuesday, April 18, 2023 9:46 AM
To: Brianna Lindell <blindell@mnhomecare.org>
Subject: FW: Removing ulcer/wound diagnoses

Hi Brianna,

               I submitted this question to the list serve, but didn’t hear anything back. Maybe I didn’t do it right? Sorry I am a newbie with this.

Thanks,

Marie Haas

Essentia Health Home Care West

From: Haas, Marie J
Sent: Thursday, April 13, 2023 9:18 AM
To: medicarecompliance@list.mnhomecare.org
Subject: Removing ulcer/wound diagnoses

Hi,

I am wondering if we can remove an ulcer/wound diagnoses at recert once the ulcer/wound is healed or do we need provider documentation in the medical record that it is “resolved”?  We are no longer providing dressing changes so it is not on our plan of care.  I am under the impression that we would only include that in the diagnoses if we are addressing it in the plan of care.

               If you do need provider documentation that the wound is healed/resolved, how are agencies getting that?

               Here is the response from our coders : “There is no documentation from the MD that it resolved and last time he was seen for ulcer was on 2/22/23. I don’t know how I would query anyone since no MD has seen him lately.”

Thanks for your input,

Marie Haas, RN BSN

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