MDS Alert
Can You Code Services On The MDS Provided By The Transferring SNF?
PDF
Question: Our SNF admitted a resident with a diagnosis of pneumonia and a stage 3 pressure ulcer to our SNF from a subacute SNF. The resident's family requested that he be transferred because they didn't like the care he was receiving in the transferring SNF. The resident received IV fluids and IV antibiotics in the SNF. Can we code services he received in the transferring SNF? Answer: The admission to your facility is independent of an admission to any other SNF. You must complete a 5-day Medicare assessment and must also meet the OBRA requirements for an initial assessment, if the resident remains in your facility for 14 days. You can combine the OBRA assessment with the 14-day Medicare assessment as long as it is completed within 14 days of admission. You can count any skilled services that occurred within the look-back period. Since this resident received IV fluids and IV medication in the SNF, you have more flexibility with the ARD (assessment reference date) choice. As long as the services you want to count are within the required lookback time period, you may also use information from the hospital stay. In either instance, you must have documentation to support that these services were rendered during that time frame. Answers to questions provided courtesy of Marilyn Mines, RN, RAC-C, BC, director of clinical services for FR&R Healthcare Consulting in Deerfield, IL.
MDS Alert
- Medicare Compliance:
Rehab Consistently Falling Off After The MDS Assessment? Your Facility May Face A Compliance Tumble
Don't wait: Detect, head this trend off at the gate. In coding the MDS, the [...] - Quality Improvement Tool:
Quantify Rehab Therapy Utilization For Each Resident
This handy tool can easily identify patterns of rehab use. Source: Jane Belt, MSN, RN, [...] - Abuse and Neglect:
6 Strategies Protect The Integrity Of Your Investigation
Hint: Eliminate bias, focus on theories of causation. Who doesn't like putting on their CSI [...] - Abuse and Neglect:
Get The MDS On The Case To Identify, Investigate Potential Abuse And Neglect
Put these key sections and items under the forensic lens. The MDS can provide key [...] - Risk Assessment:
Check Out This List Of Risk Factors For Osteoporosis
Certain conditions, meds up the odds of a resident having the condition. One risk for [...] - Quality Assurance:
Let OSCAR 4 Shore Up QA And Survey Management
Survey report lets you know how the facility stacks up against the averages. The OSCAR [...] - Survey Management:
An Inaccurate CMS 672 = An OSCAR 4 Report That Can Lead Your QA And Survey Astray
Don't let the MDS drive this form in the wrong direction. A facility's OSCAR 4 [...] - Medicare Payment:
Give Physician Visit/Order Changes Coding A Checkup With This Quick Quizzer
Knowing the answers to these 4 scenarios helps avoid payment recoupments. On the 14-day Medicare [...] - MDS Coding Tip:
Know Where, How To Code A Skin Tear On The MDS
Are you documenting this critical difference? Frail elders can easily suffer a skin tear. To [...] - Reader Questions:
Would This Half Bedrail Count As A Restraint?
Question: Would you count a half rail as a restraint if the resident uses it [...] - Reader Questions:
Can You Code Services On The MDS Provided By The Transferring SNF?
Question: Our SNF admitted a resident with a diagnosis of pneumonia and a stage 3 [...] - Coding Quizzer:
How Do You Code A Dying Resident's Discharge Potential?
The answer isn't as straightforward as you might think. Mrs. D is a 67-year-old widow [...]