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Long-Term Care Survey Alert

Coding Quizzer:

How Would You Code These 2 RAI Manual Examples at H0300 (Urinary Incontinence)?

Published on Tue Jan 10, 2012

Scenario No. 1: "A resident with multi-infarct dementia is incontinent of urine on three occasions on day one of observation, continent of urine in response to toileting on days two and three, and has one urinary incontinence episode during each of the nights of days four, five, six, and seven of the look-back period," states the RAI manual.

Scenario No. 2: "A resident had one continent urinary void during the 7-day look-back period, after the nursing assistant assisted him to the toilet and helped with clothing. All other voids were incontinent," states the RAI manual.

Coding Options for H0300:

"Code 0, always continent.

Code 1, occasionally incontinent

Code 2, frequently incontinent

Code 3, always incontinent: if during the 7-day look-back period, the resident had no continent voids.

Code 9, not rated."

Source: RAI User's Manual.

Editor's note: See the answers on the last page of this issue.

CODING QUIZZER ANSWER

Scenario No. 1: "H0300 would be coded as 2, frequently incontinent," states the RAI manual.

"Rationale: The resident had seven documented episodes of urinary incontinence over the look-back period. The criterion for 'frequent' incontinence has been set at seven or more episodes over the 7-day look-back period with at least one continent void," states the manual.

Scenario No. 2: "H0300 would be coded as 2, frequently incontinent," states the RAI manual.

"Rationale: The resident had at least one continent void during the look-back period. The reason for the continence does not enter into the coding decision," states the manual.

Source: Excerpted verbatim from the RAI User's Manual.

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