MDS Alert
Ensure The Clinical Record And Care Plan Back Up The MDS For Wounds
If they don't, you could end up doing some serious backtracking with auditors.
Providing expert wound care and coding it correctly on the MDS aren't enough. You have to document the care consistently in residents' medical records.
A big problem: "The way that wound care is evolving in nursing homes, one nurse usually does the wound care and treatments. And that person may maintain those records separately," says Patricia Boyer, principal with Boyer and Associates in Brookfield, WI.
Proactive strategy: Facilities "need to get that information into the resident's clinical record, including how the wound appeared daily and when they did a dressing change," says Boyer.
Also: Record the wound interventions in the plan of care. Gail Robison, RN, RAC-C, with Boyer & Associates, finds that interventions are sometimes on the wound-care sheet but not on the care plan.
MDS Alert
- Quality Assurance:
Review Validation Reports To Detect Warning Message Patterns
Don't let these problems escape your RAI compliance radar.
Validation reports can let you know that [...] - Clip and Save:
Heed Warning Message About Late Transmissions
Keep your timeline on target to stay out of surveyors' crosshair. - Medicare:
Bill Not Until You Have Done This
CMS has changed its stance on default rates.
If you forget to do an MDS, you [...] - SPECIAL FOCUS:
Fall Prevention And Management--4 Rules Will Help Ensure Your Fall Prevention And Management Program Measures Up
This simple plan will keep you out of F323 land.
With the tougher F323 tag now [...] - Continuing Education:
Take Culture Change And Continence Programs To A New Level
Dial in to What Leaders Need To Know About Long-Term Care Culture Change, presented by [...] - Tool:
Medication Checklist Helps You Flag Residents At Risk Of Falling
Look way beyond Section 04 to identify these.
The American Medical Directors Association fall management guidelines [...] - Special Focus:
Fall Prevention And Management--2 Must-Do's Will Help You Stay On Top Of Falls
Create a system where falls don't fall through the cracks.
To identify systemic problems causing avoidable [...] - MDS Coding:
Don't Take A Survey Fall For Undercoding On The MDS
Here's how CMS defines a fall.
A fall caught in time is still a fall on [...] - Medicare:
Beware--Omissions In Wound And Rx Coding Can Wound Your Payment Rates
Working this decision-making tree will be fruitful.
Time heals all wounds--or many of them--if it's nursing [...] - Reader Question:
Does Revised F323 Fall Definition Trump MDS Coding Instructions?
Question: We've noted that the recently released F323 survey guidance includes a definition of falls [...] - Documentation:
Ensure The Clinical Record And Care Plan Back Up The MDS For Wounds
If they don't, you could end up doing some serious backtracking with auditors.
Providing expert wound [...] - MDS Coding:
Capture These Skin Treatments In Section M5
But before you code, double-check the definitions of each Rx.
Skin ulcers of any stage over [...] - Coding Quizzer:
Don't Be Left Out In The Cold--Know Where To Code Frostbite Wounds
Your SNF admits an elderly gentleman with dementia who wandered outside with only one mitten [...] - Continuing Education:
Earn 3.75 Continuing Education Contact Hours In Nursing
If you're interested in obtaining 3.75 continuing education contact hours in nursing for the July, [...] - RAI Compliance Tip:
Shore Up Your Restraint Assessments Before You Reel In F221 Tags
Surveyors may be looking for this key piece.
A device can be a restraint in one [...] - MDS & Billing News
--Make sure you're complying with new diagnosis coding for dysphagia that goes into effect Oct. [...]
