MDS Alert
Know What Counts As Restorative For Coding Section P3
PDF
Use this checklist of requirements.
To provide restorative nursing is one thing, but coding it in Section P3 of the MDS is another.
To do the latter, the facility must offer restorative care that meets requirements spelled out by the RAI user's manual. Restorative care includes "nursing interventions that assist or promote the resident's ability to attain his or her maximum functional potential," according to the manual. Section P3 does not include procedures or techniques carried out by or under the direction of qualified therapists, as identified in item P1b.
In addition, to be included in Section P3, restorative care must meet the following criteria:
Keep in mind that the nursing focus is actually greater than provision of the restorative services per se, which may actually be provided by CNAs, activities personnel and even volunteers under the supervision of the licensed nurse, says Cheryl Field, MSN, RN, with LTCQ Inc. in Lexington, MA. Restorative nursing programs require a skilled nurse to evaluate the program and add treatments, as needed, she adds. "The restorative services are really interventions aimed at a bigger problem," Field sums up - for example, ADL decline that's impacting the resident's functional and health status. To review the restorative services in Section P3 and coding directions, go to www.cms.hhs.gov/quality/mds20/raich3.pd(pp.3-192-195).
MDS Alert
- Resident Assessment:
Don't Make Pressure Ulcers Appear Better - Or Worse - Than They Really Are
Get clinicians, surveyors, payers on the same page with wound severity.
With tougher F314 guidance in [...] - Coding Quizzer:
Try Your Hand At Coding Range Of Motion In Section G4
How would you code these two examples in G4 (column A)?
Example 1: Mr. O was [...] - Medicare Payment:
Keep Pressure Ulcers On Your Payment Radar Screen
Prevent residents with 2 decubs from slipping from a higher RUG.
What you don't code can [...] - Coding Tip:
Use Site-Specific Pressure Ulcer Codes To Support Billing, Quality Assurance
Including specific ICD-9-CM codes for pressure ulcers in Section I3 of the MDS and on [...] - Medicare Payment:
To Skill Or Not To Skill Residents For Restorative Nursing?
Experts shed some light on this controversial coverage debate.
If a Medicare beneficiary doesn't RUG into [...] - Clip 'N Save:
Does Your Pressure Ulcer Care Plan Address These Key Elements?
Checklist: Assessment and Reassessment of Pressure Ulcers
Does your facility complete a comprehensive assessment for [...] - Restorative Nursing:
Know What Counts As Restorative For Coding Section P3
Use this checklist of requirements.
To provide restorative nursing is one thing, but coding it in [...] - In The Spotlight:
Facilities Use New Technology To Detect Hidden Pre-Ulcer Condition
Portable ultrasound scans offer latest wave in wound risk management.
No one expects nurses to assess [...] - Risk Management:
Technology Holds Promise For Preventing Pressure Ulcers
But does it really work ... and will Medicare pay for it?
Proof, pricing and payoff [...] - What Do You Think?:
Can You Skill A Resident For Psych Or Behaviorally Focused Care? The Answer Is Yes, But ...
Here's what you need to know.
Question: When can SNFs skill residents for primarily psychiatric [...] - Medical Review:
Two Cases Billed To Medicare For Behavior RUG - One Paid, The Other Not
MDS coding alone won't cut the mustard with medical reviewers.
The MDS may be exactly the [...] - MDS & BILLING NEWS TO USE
Are you up on the latest CMS clarification for electronic MDS signatures? Nursing facilities may [...]