MDS Alert
CMS Official Dishes on Documenting Nutritional-Related Issues for CAAs
PDF
The RD's note should explain this critical information. If your dietitians are looking for some tips for documenting Care Area Assessments, CMS' Sue Albrecht, MS, RD, shared some advice on that topic at the recent ADA Dietetics in Health Care Communities conference, as reported below by Becky Dorner, RD, LD, in her blog (http://blog.beckydorner.com). "The key is to be sure that you document why you did or did not address an issue in the nutrition assessment and/or nutrition notes. Under section V, it is fine to write in 'See RD notes,' but if you do that then you must be sure that you documented why you did or why you did not address nutrition issues. In other words, make sure that if you refer them back to your assessment that you thoroughly documented appropriately in the assessment. For example, let's say the resident's BMI was >25.9 which triggered for a CAA and you chose not to intervene. Did you document why you chose not to intervene? (An example might be that this resident has been at this same body weight -- their usual body weight -- for 20 years and does not want to lose weight.)" Editor's note: The above excerpted paragraphs are based on Becky Dorner's write-up of Albrecht's presentation. Used by written permission.
MDS Alert
- MDS 3.0 Coding:
Keep Coding and Care Woes Off the Table for Section K (Swallowing/Nutritional Status)
Don't make this mistake in coding K0700. Laying an accurate assessment foundation for Section K [...] - Coding Tips:
Follow These Instructions for Coding Each Item at K0100 (Swallowing Disorder)
Look for this frequent complaint as a red flag. The RAI User's Manual directs you [...] - Care Area Assessments:
CMS Official Dishes on Documenting Nutritional-Related Issues for CAAs
The RD's note should explain this critical information. If your dietitians are looking for some [...] - Rehab Therapy:
Make the Most of the Start of Therapy OMRA
Obtain the fairest reimbursement and sidestep unnecessary assessments. The Start of Therapy OMRA can lead [...] - Compliance:
Don't Let Your Therapy Documentation Undercut Rehab RUG Payment
Shortfalls in documenting previous functional status can be a ticket to claims denials. From ZPICs [...] - Nursing Documentation:
Make Sure Nursing Notes Address Rehab Residents' Progress, Functional Goals
These 2 documentation examples can sink claims. Therapy documentation may fly with auditors but they [...] - Medicare Payment:
Know When Residents Qualify for Both Hospice and Part A SNF Care
Apply this key litmus test to see if residents qualify for dual coverage. A Medicare [...] - Tool:
Find Out How the RUGs Stack Up Based on Their CMIs - WHAT DO YOU THINK?:
Should You Always Do a Significant Change in Status Assessment for SNF Readmissions from the Hospital?
Question: Should our facility always do an SCSA combined with a readmission assessment for a [...] - Test Yourself:
What Does the F325 Surveyor Guidance Say About Swallowing Disorders?
See if you're up to speed on what surveyors will consider. Which of the following [...] - Medicare, Clinical & Research News
Legislation has put an end to the RUG-II hybrid. In December, lawmakers passed the Medicare [...] - WHAT DO YOU THINK?:
Are You Required to Do SCSAs for Residents Who Go On a Palliative Care Program?
Question: Our facility is starting a palliative care program. Should the MDS team do a [...]