MDS Alert
WHAT DO YOU THINK?
Question: What support documentation would a nursing facility need to code IV fluids provided in the hospital or emergency department? Answer: Consultant Jennifer Pettis, RN, WCC, RAC-MT, says she'd "expect to see a flow sheet showing the IV fluids were administered and/or documentation in the medical record by the clinician noting how much fluid the patient received" -- and why the IV fluids were ordered, which should be related to treatment of a nutritional and/or hydration need. "The ED might have that information in the transfer summary," adds Pettis, program development manager and regional consultant for Harmony Healthcare International in Topsfield, Mass. "Additionally, it must be clear in the documentation that the IV fluids were not administered as a routine part of an operative or diagnostic procedure or recovery room stay," says Pettis.
MDS Alert
- MDS Management:
Home In On These 3 Problem Areas of the MDS 3.0
Clarity of Section O instructions for coding isolation is on the list. Facilities and residents [...] - Coding Instructions for Isolation at O0100M
Here's what CMS says to do. The RAI User's Manual provides the following instructions for [...] - MDS Assessments:
Efficiency Is Key When Dealing With Discharge Assessments
Make sure you're not doing more than required. Most people agree that discharge assessments have [...] - Quality of Care:
Preempt Aspiration With This Admission Checklist
There are more ways to detect swallowing problems than included in Section K. Completing Section [...] - Clinical Care:
Incorporate Speech Therapy Interventions and Recommendations in the Care Plan
Expert shares strategy for providing feeding and swallowing instructions in the dining room. An ongoing [...] - CODING QUIZZER:
How would you code the following scenario from the RAI User's Manual?
Calculation for Average Daily Fluid Intake Mrs. G. received 1 liter of IV fluids during [...] - WHAT DO YOU THINK?:
When Would the RUG Rate Change in This Scenario?
Question: When you combine a 5-day assessment with a significant change in status assessment, when [...] - WHAT DO YOU THINK?:
What Kind of Support Documentation Do You Need for This Service Coded on the MDS?
Question: When we have a resident who receives IV fluids to prevent dehydration in the [...] - WHAT DO YOU THINK?
Question: What support documentation would a nursing facility need to code IV fluids provided in [...] - Case Study:
Bringing On an MD + NP Hospitalist Team Proves to Be a Smart Move for This SNF Provider
The approach achieved several goals at once, including reducing rehospitalization. SNFs looking to reduce emergency [...] - Diagnosis Coding:
Most Organizations 'Surprised' By How All-Encompassing ICD-10 Transition Is
Best bet: Establish your initial plan for conversion immediately so you can project your facility's [...] - Tool:
Use This Form to Stay on Top of Community Referrals for Section Q
This way you can track where each resident is with the process. - Billing & Survey News to Use
SNFs will have their Part A claims readjusted but not by much. CMS recently reported [...]
