MDS Alert
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 severely cognitively impaired. She is unable to feed herself. During the 7-day look-back period, one staff member had to assist her with eating every meal." 2. "Mrs. D. receives all of her nourishment via a gastrostomy tube. She did not consume any food or fluid by mouth. During the 7-day look-back period, she did not participate in the gastrostomy nourishment process." Source: RAI User's Manual How could you code G0110H1 (ADL self-performance) and G0110H2 (ADL support provided) for these residents? The answers are on the last page of this newsletter. Coding Quizzer Answers
Rationale:
Resident did not participate and required one staff person to feed her all of her meal during the 7-day look-back period."Example No. 2: "Coding:
G0110H1 would be coded 4, total dependence. G0110H2 would be coded 2, one person physical assist.Rationale:
During the 7-day look-back period, she did not participate in eating and/or receiving of her tube feed during the entire period. She required full staff performance of these functions."Source: Printed verbatim from the
RAI User's Manual.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:
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HEAT Training Session Homes in on These Key Medical Record Compliance Issues
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Not Planning to Transition to ICD-10 as of Oct. 1, 2013? You Might Be Liable for Fines, CMS Reps Say
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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 [...]
