MDS Alert
Coding RT In Section P
Question: Can you code respiratory therapy treatments provided by a nurse in Section P1?
Answer: If a "trained" nurse or a respiratory therapist has provided 15 minutes of treatments per day daily for the last seven days, then the facility should record [the total number of days and minutes of RT] on the MDS in Section P1. A "trained" nurse is one who receives specific training on the administration of respiratory treatments and procedures. The nurse may have received the training during a previous work experience or as part of an academic program. (Nurses do not necessarily learn these procedures as part of their formal nursing education.)
The following services qualify as respiratory therapy in this section: coughing, deep breathing, heated nebulizers, aerosol treatments, assessing breath sounds and mechanical ventilation. Do not include hand-held medication dispensers. And count only the time that the qualified professional spends with the resident. (See pages 3-185 and 3-186 of the updated Resident Assessment Instrument user's manual.)
Source: Diane Atchinson, RN, RN-CS, MSN, ANP, president, DPA Associates Inc. in Kansas City, MO.
MDS Alert
- Medicare Billing & Payment:
Ringing Up Too Many Default Rates? Here's Why
There are only 3 reasons to bill the bottom-rung RUG
Think of Medicare default rates as [...] - SPECIAL FOCUS:
Restorative Nursing, Restore Your Outcomes And Your Bottom Line
Here's how to provide a restorative program that you can code on the MDS.
The motto [...] - Clip 'N Save:
Stumped On Writing Restorative Goals?
Follow these steps.
Want to write restorative nursing goals that will get residents back on their [...] - What Do You Think?
Question: Can the restorative aide document the resident's restorative program in the clinical record? Does [...] - SPECIAL FOCUS:
Program Assessment, Restore Your Perception of Restorative
Here's a quick way to find out if you're selling yourself short.
Your facility might [...] - CLIP-N-SAVE:
Know What Counts Before You Code Section P3a-k
When it comes to coding restorative nursing services, definitions tell the "rest of the story" [...] - Medicare/Medicaid Compliance:
Make Sure Physician Extenders Don't Stretch The Rules
Otherwise, you're risking technical denials, F tags and worse.
What's the one thing nurse practitioners and [...] - Management Strategies:
Improve Your PPS, Resident And Survey Outcomes
Take a proactive tack with your hospitals.
No person is an island, and neither is a [...] - Inservicing Tip:
Develop A Training 'Quid Pro Quo' With
To share is to improve care ... and a "training exchange" with your referring hospitals [...] - Medicare Legislation:
6 Payment-Related Provisions In The New Medicare Reform Law You Won't Want To Miss
The mammoth Medicare reform law contains some good news for nursing facilities on the payment [...] - MDS, Billing & Clinical News To Use
Check out the updated Beers list of potentially dangerous drugs for older adults. An expert [...] - Coding Quizzer:
Coding RT In Section P
Question: Can you code respiratory therapy treatments provided by a nurse in Section P1?
Answer: [...]
