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Section Navigation Part 9 of 20 1. General Section 2. 6.1 “WNL” alone 3. What changed 4. 6.2 Vague daily-skilled need (the homebound-replacement failure) 5. What changed 6. 6.3 Teaching without mastery 7. What changed 8. Extended recurring patterns (SNF) 9. The daily-skilled gap 10. Cloned / carried-forward note 11. Reference to “baseline” with no value 12. Unquantified outcome 13. MDS not supported by the record 14. Care plan not individualized or not updated 15. Restorative program not documented 16. Open-loop coordination or missed notification 17. Maintenance coverage misframed 18. Restraint / psychotropic documentation gap 19. Notice not issued or not documented 20. Sources and clinical references Previous Next The daily-skilled gap Fails: a stretch of Part A days with routine or aide-level notes and no skilled service documented — the single most common ADR down-code/denial. Survives: every billed day carries a named skilled service (procedure, observation & assessment, teaching, or management & evaluation) with the reason it was required that day. Section Navigation Part 9 of 20 1. General Section 2. 6.1 “WNL” alone 3. What changed 4. 6.2 Vague daily-skilled need (the homebound-replacement failure) 5. What changed 6. 6.3 Teaching without mastery 7. What changed 8. Extended recurring patterns (SNF) 9. The daily-skilled gap 10. Cloned / carried-forward note 11. Reference to “baseline” with no value 12. Unquantified outcome 13. MDS not supported by the record 14. Care plan not individualized or not updated 15. Restorative program not documented 16. Open-loop coordination or missed notification 17. Maintenance coverage misframed 18. Restraint / psychotropic documentation gap 19. Notice not issued or not documented 20. Sources and clinical references Previous Next 