MDS Alert
MDS Coding:
Beware--Little ADL Coding Missteps Will Rip Your RUGs
Published on Thu Sep 22, 2005
Add dollar signs to your argument for investing in MDS accuracy. ADLs drive RUG classification, so make sure you're heading your facility in the right direction. Keep in mind that "a difference in either the self-performance or support score in section G1a, b, h or i can change the ADL index score," says Marilyn Mines, RN, BC, director of clinical services for FR&R Healthcare Consulting in Deerfield, IL. For example, in chart B, the difference between an ADL support score of "2" for a one-person assist, versus a "3" for a two-person assist on the 5-day Medicare MDS results in a $46.95 difference a day or $657.30 over 14 days.
Other Articles in this issue of
MDS Alert
- MDS Coding:
5 Ways To Keep Your ADLs On The Money And Off The F Tags
Catch little errors before they cost you a RUG or a clean survey.
Inaccurate ADL scoring [...] - MDS Coding:
Beware--Little ADL Coding Missteps Will Rip Your RUGs
Add dollar signs to your argument for investing in MDS accuracy. ADLs drive RUG classification, [...] - Training Tip:
Target Coding Woes Before They Morph Into Systemic Issues
Ready, aim, educate.
To keep your MDS documentation on track, you have to show staff the [...] - Coding Quizzer:
Infuse Flu Shot Coding With New RAI Manual Instructions For Section W
Don't miss capturing a flu vaccination.
How would you code the following examples in item W2a, [...] - Quality Improvement:
Quality Indicators Ailing? Give Them A Coding Checkup
An ''F' in assessment and coding can translate into a failing survey record.
The first step [...] - Test Yourself
Question: A fall coded at J4a or J4b is a covariate for which QI/QM that [...] - Quality Assurance:
Double-Check Risk Adjustors For QIs/QMs
Take advantage of the wiggle room for factors beyond the facility's control.
MDS coding is risky [...] - Clip 'N' Save:
Know The Covariates For Short-Stay Residents With Pressure Ulcers
If a resident has one of these risk factors, be sure you code it. - Risk Management:
Capture RUGable Home Visits, Discharge-Related Care
Get resident off on the right foot at home--and show that you did.
Ensuring a resident's [...] - Risk Management:
Think Thrice Before Manipulating ARDs To Avoid Triggering QIs/QMs
Find out why efforts to stay off the survey radar screen can backfire.
Facilities that set [...] - Clip 'N' Save:
Connect The Dots To Detect Dehydration
Seemingly unrelated signs and symptoms can signal this serious condition.
Functional Signs and Symptoms
• Lethargy and weakness
• Change [...] - In The Spotlight:
Harness The MDS To Move Into Best -Practices Territory
Use this step-by-step plan to improve care one area at a time.
To develop a reputation [...] - Clip 'N' Save:
Keep Careful Records To Keep Influenza Under Control
Early detection can help protect residents, limit costs.
If influenza strikes your facility, diligence and [...] - Reader Question:
Don't Take A Fall For Omitting Falls In Section J
Question: If we walk into a room and find a resident on the floor, and [...] - MDS & Billing News
Wondering what's happening with the MDS 3.0? The instrument appears to be headed toward a [...]
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