MDS Alert
To Code or Not to Code E4e if a Resident Refuses Care
The answer hinges on this key consideration. Question: Should you code E4e that a resident is resisting care if he refuses a statin prescribed for high cholesterol and becomes hostile with staff when they try to convince him to take the medication? Answer: E4e (Resists Care - Resists taking medications/injections, ADL assistance or help with eating) doesn't include a situation where the resident "has made an informed choice not to follow a course of care (that is, the, resident has exercised his or her right to refuse treatment, and reacts negatively as staff try to reinstitute treatment)," states the RAI User's Manual. Thus, you have to consider whether the resident is making an informed decision to not comply with the plan of care. "If the resident is making an informed decision, you woudn't code this item," says Jennifer Gross, RN, BSN, a healthcare specialist with PointRight Inc. in Lexington, Mass.
MDS Alert
- MDS 3.0 :
Be Aware of CATs and Other Changes for Care Planning Afoot Under MDS 3.0
CMS plans to put the CATs analysis more in facilities' court. Once the MDS 3.0 [...] - Check Out the CATs
The draft MDS 3.0 includes these Care Area Triggers: Delirium Cognitive Loss/Dementia Visual Function Communication [...] - QUALITY ASSURANCE :
Use This Model to Target Restorative Nursing and Watch Your QIs/QMs Fall Into Place
Nip problems before they morph into F tags. Think of the facility's quality indicators/measures and [...] - TOOL :
Follow the Crosswalk From QIs/QMs to Suggested Restorative Services - TRENDS :
Providers Challenge RUG-IV on Multiple Points
CMS rep addresses concerns about Rehab plus Extensive Services. As industry experts digest the proposed [...] - DIAGNOSIS CODING :
Get Ready for 141 New ICD-9 Codes Effective Oct. 1
Some of the new codes may help you with ICD-10. The MDS 3.0, RUG-IV, and [...] - Coding 202 :
1 2, 3 … Keep Your ICD-9 Coding More Error Free
A little extra effort can clean up your claims. Ready to give your ICD-9 coding [...] - DIAGNOSIS CODING :
Get the Latest Scoop From CMS on ICD-10
Don't count on much wiggle room on the implementation deadline. Although confusion about the ICD-10 [...] - Compliance :
Stay a Step Ahead of the RACsWith 2 Strategies
How to keep claims out of RACs' hands. Giving your claims a clean bill of [...] - QUALITY ASSURANCE :
Let the MDS Be Your Guide in Keeping Diabetes Care and Outcomes on a Positive Course
Find out if you're coding and addressing everything you should be. Imagine a good plaintiff's [...] - SURVEY MANAGEMENT :
Afraid Your Activities Program Isn't Making the Grade? Conduct a RAID
A mock inspection in time can stave off F248 and other tags. Surveyors increasingly have [...] - ACTIVITIES :
Do Your Facility's Activities Include These Key Therapeutic Design Elements?
This quick 8-point checklist can keep your programming on the mark. Activities should meet the [...] - CLINICAL TIP :
Identify ResidentsWith Prediabetes to Get the Care Plan Rolling
A 3-prong approach can improve care for this common condition. You can't address what you [...] - CODING QUIZZER :
To Code or Not to Code E4e if a Resident Refuses Care
The answer hinges on this key consideration. Question: Should you code E4e that a resident [...] - MDS & CLINICAL NEWS TO USE
Screening patients with heart disease carefully for depression symptoms might be a good idea. Patients [...]
