MDS Alert
Does Family and Rehab Therapist Assistance Count in Coding ADLs on the MDS 3.0?
Question: What counts as ADL help that can be coded on the MDS 3.0? Are we still going to be able to include ADL assistance provided by family members? What about rehab therapists in the SNF or ADL help provided while the resident was in the hospital? Answer: Keeping in mind that CMS may still make changes to the MDS 3.0 instruction manual, currently the instructions say to include episodes of the ADL activity involving the nursing home staff only, says Rena Shephard, MHA, RN, RAC-MT, C-NE, president and CEO of RRS Healthcare Consulting in San Diego. That means "no family, visitors, or hospital staff. Presumably, the resident's performance with rehab staff is to be considered, since the instructions do not specifically exclude rehab staff."
MDS Alert
- MDS 3.0 PREPARATION:
Ramp Up for the MDS 3.0 Interviews Now -- Here's How
2 tips help residents participate more fully. The MDS 3.0 resident interviews will play a [...] - RESOURCE:
Interview 202: Take These Cues for Effective Interviewing From the RAI Manual for MDS 3.0
Find out how to use echoing, probing, unfolding, and other techniques. Even the most expert [...] - RAC READINESS:
Make Time to Target Untimed Codes on Part B Therapy Claims
Don't let the RACs bilk you out of this one example of appropriate billing. RACs [...] - RESOURCE:
Get Your Noncompliance in Check With This Part B Audit Tool - QUALITY ASSURANCE:
Keep Your Eye Out for This IJ Citation Waiting to Happen
Just because a resident doesn't have an identified risk doesn't mean you can't get penalized [...] - 2 More Areas That RACs Could Target for Part B Therapy
The supporting Part B documentation should identify the decline in function. If your RAC readiness [...] - ACTIVITIES OF DAILY LIVING:
Could an Enabler Improve a Resident's Bed Mobility?
A small rail or trapeze could get the resident moving. Looking for ways to help [...] - Clinical Tip:
Teach the Resident the Best Way to Sit Up When in Bed
Restorative can help the resident with this technique. Not all strategies for sitting up in [...] - Risk Management :
Don't Let These Key Elopement Risk Factors Escape Your Assessment
Critical: Identify this combination of conditions at admission. As you know, elopement can occur in [...] - COMPLIANCE NEWS:
CMS to Medicare Contractors: Target These Potential Problem Areas Identified by the OIG
Consolidated billing for ambulances is on the list, as is hospice for nursing home residents. [...] - What Do You Think? Does Medicare Ever Cover Wheelchair Vans, Medi-vans, Etc.?
Can you bill Part A-stay residents or their responsible parties for this service? A private-pay [...] - TEST YOURSELF:
RAC READINESS
1. The RACs are responsible for auditing which of the following (select one correct answer): [...] - READER QUESTION:
Does Family and Rehab Therapist Assistance Count in Coding ADLs on the MDS 3.0?
Question: What counts as ADL help that can be coded on the MDS 3.0? Are [...]
