MDS Alert
Don't Let Coding Discharge Potential Throw You Off
Try your hand at this scenario.
How would you code this situation in Section Q1?
Mr. S is a 70-year-old married gentleman who was admitted to the facility two weeks ago from the hospital following surgical repair of a left hip fracture. Mr. S has a long history of alcoholism and cirrhosis of the liver.
His daughter reports that when he is drinking, he is abusive toward his wife of 40 years. Though he has a strong wish to return home, his wife states she can't take it anymore and doesn't want him to return home. He has basically worn out all his family options. Other social support options are being explored. At this time, plans for discharge remain uncertain.
Discharge Potential Coding Options
a. Resident Expresses/Indicates Preference to Return to the Community - Enter "0" for No or "1" for Yes.
b. Resident has a Support Person who is Positive Toward Discharge - Enter "0" for No or "1" for Yes.
c. Stay Projected to be of a Short Duration - Discharge projected within 90 days (do not include expected discharge due to death). Enter "0" for No, "1" for within 30 days, "2" for within 31-90 days, or "3" for discharge status uncertain.
Answer:
a. Resident expresses/indicates preference to return to the community: 1 (Yes)
b. Resident has a support person who is positive toward discharge: 0 (No)
c. Stay projected to be of a short duration -- Discharge projected within 90 days (do not include expected discharge due to death): 3 (Uncertain)
MDS Alert
- Payment:
Don't Let Your Nursing Documentation Torpedo Rehab RUGs
4 ways to stay on the same page as rehab therapists.
If nursing and therapy documentation [...] - Care Planning:
Tune In A Clear Picture Of Residents With Cancer
Use the MDS to avoid gaps in your care plan.
When developing a care plan for [...] - Reader Question:
Solve This Cancer Coding Challenge
Question: Our resident had surgery for colon cancer. We are providing wound care and colostomy [...] - Tool:
Personalize A Resident's Care: Check Out The Personal Severity Index (PSI)
These MDS items tell you a resident may be ready for end-of-life care.
You may sense [...] - Medicare:
Reap Fair Payment For Residents With Cancer Rx
3 rules help you avoid payment and compliance pitfalls
Residents receiving chemo that's not excluded from [...] - Psychosocial Care:
Get To The Bottom of Mood, Anxiety Indicators
Ask not ... and your care plan will be wanting.
Section E1 lists several indicators of [...] - Best Practices:
These Psychosocial Interventions Can Be Powerful Antidotes To Depression
Surveyors expect facilities to do more than provide medication.
Yes, your facility will trigger a quality [...] - In The Spotlight:
Let The I's Have It In Your Facility By Crafting The Right 'I Care Plan'
How to navigate the ins and outs of this person-centered care approach.
In the quality-of-life realm, [...] - Clip And Save:
Looking For An Interview Template For Assessing Mood?
There's no reason you can't use the draft MDS 3.0 to augment assessments - Management Tip:
Look For This Top Indicator That A CNA Will Make A Great Caregiver
This characteristic can go a long way toward promoting quality of life.
The No. 1 behavioral [...] - Diagnosis Coding:
4 Tips Take The Guesswork Out Of Dementia Coding
Dementia for those over 65 isn't necessarily senile.
The diagnostic maze for coding dementia can put [...] - Coding Quizzer:
Don't Let Coding Discharge Potential Throw You Off
Try your hand at this scenario.
How would you code this situation in Section Q1?
Mr. S [...] - Continuing Education:
Plan Ahead To Meet Staff Education Needs
Improve your MDS know-how and quality of care.
Our upcoming Eli-sponsored audio conferences will educate, inform [...] - MDS & Billing News
Good news: You'll have an extra year to get up to snuff with your National [...]
