MDS Alert
Is the Resident With Behavioral Sx Taking Any of These Meds?
These drugs can cause socially inappropriate behaviors, agitation, paranoid delusions. The Care Area Assessment-specific resource for the Behavioral Symptoms CAA provided by CMS in Appendix C of the RAI User's Manual suggests looking at a number of medications in evaluating the potential cause of behavioral symptoms: "Antiparkinsonian drugs - may cause hypersexuality, socially inappropriate behavior Sedatives, centrally active antihypertensives, some cardiac drugs, anticholinergic agents can cause paranoid delusions, delirium Bronchodilators or other respiratory drugs, which can increase agitation and cause difficulty sleeping Caffeine Nicotine Medications that impair impulse control, such as benzodiazepines, sedatives, alcohol (or any product containing alcohol, such as some cough medicine)."
MDS Alert
- Pain Assessment:
Refrain From Over-Relying on a 'No' for Pain Presence at J0300
These strategies will help you cover the pain assessment and care planning bases. Problem: Facilities [...] - MDS 3.0:
Assess and Code Pain Presence Correctly at J0300
"Steps for Assessment 1. Ask the resident: "Have you had pain or hurting at any [...] - Resource:
Video on Interviewing Vulnerable Elders (VIVE) for Pain Demonstrates Helpful Technique
The interviewer doesn't let the resident's comment go unaddressed. The MDS 3.0 VIVE (Video on [...] - MDS Coding:
Don't Let Dashes Derail Your RAI Compliance Track Record
Know what to do when an unplanned discharge prevents you from conducting any of these [...] - Compliance:
CMS Memo Provides Existing RAI Manual Excerpts on Dashes
Ready for a quick review? CMS' recent memo, "The Use of Dashes in Completing the [...] - Compliance:
HEAT Training Session Homes in on These Key Medical Record Compliance Issues
Be aware of a crackdown in this area, says OIG official. In a recent HEAT [...] - ICD-10:
Not Planning to Transition to ICD-10 as of Oct. 1, 2013? You Might Be Liable for Fines, CMS Reps Say
Plus: CMS officials are considering how to handle dates of service that span the pre- [...] - Payment:
Nail Down These 2 SNF Billing Clarifications
Know what counts as a unit of rehab therapy. SNFs will likely be more on [...] - HIPAA Compliance:
What Do You Think?
Question: Who's authorized to make a request to review a resident's medical record? Can a [...] - Coding Quizzer:
Would You Code Both of These Eating Examples as Total Dependence in Section G?
Try your hand at coding these two RAI User's Manual examples: 1. "Mrs. U. is [...] - Care Planning Tip:
Is the Resident With Behavioral Sx Taking Any of These Meds?
These drugs can cause socially inappropriate behaviors, agitation, paranoid delusions. The Care Area Assessment-specific resource [...] - Compliance & Payment News
While CMS hadn't at press time released its final SNF PPS rule, you might want [...]
