MDS Alert
WHAT DO YOU THINK? Does Addressing This Communication Barrier Count as a Restorative Program?
Question: Can a restorative program (P3j) be coded when the deficit is a language barrier (only speaking a foreign language)? The RAI manual mentions functional communication skills, but does this include a language barrier? Answer: The manual differentiates between speaking a different language versus having a functional problem. At P3j, the MDS is meant to capture Nursing restorative/rehab programs -- often initiated after formalized physical, occupational, or speech rehabilitation therapy. Speech therapists are not involved in teaching foreign languages. If this person has no "functional" speech impediment and the only problem is "communication," then communication issues are captured in Section C. Source: Kansas Health Care Association's e-newsletter. Reprinted with written permission
MDS Alert
- COMPLIANCE:
Don't Let the Newest Payment Auditors on the Block Pack a Knock-Out Punch for Your Facility
5 strategies will prepare you for the MICs (Medicaid Integrity Contractors). If you think the [...] - QUALITY OF CARE:
Enlist the MDS in the Battle Against the Bugs and F Tags
Make sure you know how to code UTI and other infections. With swine flu and [...] - PREVENTIVE CARE:
Boost Immunization Rates and Capture Them in Section W
Protect residents against flu and pneumococcal infection, and get credit for it. Immunizations provide a [...] - TOOL:
Check Out the Coding for the Flu Immunization Quality Measure
Coding snafus can give a false view of your infection prevention efforts. - Quality Assurance:
Home In on a High Rate of UTIs
Here's what to do if you note a worrisome pattern. If your nursing facility's UTI [...] - CARE PLANNING:
Cover These Bases When Providing Skin Care for Nursing Home Residents on Hospice
Check out these novel wound pain and odor management strategies. The regulatory pressure for preventing [...] - SECTION W. SUPPLEMENTAL MDS ITEMS
- Risk Management:
Caring for a Hospice Patient With Skin Breakdown? Don't Let These Key Areas Trip Up Your Survey Record
Use this key litmus test to see if you're in compliance. Providing good skin and [...] - MEDICAL PRIVACY:
Bearers of Paper Health Records, Beware New HIPAA Breach Notification Rules
Proactive documentation management has taken on new urgency. New HIPAA breach notification rules now require [...] - WHAT DO YOU THINK? Does Addressing This Communication Barrier Count as a Restorative Program?
Question: Can a restorative program (P3j) be coded when the deficit is a language barrier [...] - MEDICARE PAYMENT:
Final SNF PPS Rule Provides Leeway for Capturing Rehab for Short-Stay Patients
You can't project therapy minutes under RUG-IV, but you can do this ... If you're [...] - BEHAVIORAL MANAGEMENT:
If the Resident Has Behavioral Sx, Consider Using This ABC Assessment Format
This approach works whether residents are cognitively impaired or not. What might screaming, hitting,weeping, and [...] - MEDICARE NEWS
Double check whether a Part A resident has had a bona fide three overnight inpatient [...]
