MDS Alert
What You Don't Know Can Hurt Your Surgical Wound Care Coding and RUG Scores
PDF
1. Which of the following constitutes surgical wound care for purposes of coding it in Section M of the MDS 2.0 or MDS 3.0? Circle all that apply. 1. Topical cleansing and/or wound irrigation 2. Application of antimicrobial ointments 3. Application of dressings of any type 4. Suture/staple removal 5. Warm soaks or heat application 6. Application of medicated eye patches after ocular surgery 7. Wound care following surgical debridement of a pressure ulcer 2. A surgical wound and one or more skin treatments coded on the MDS 2.0 may place the resident into which of the following RUG-III categories, if he or she has the requisite ADL score: a. Extensive Services b. Clinically Complex c. Special Care 3. A surgical wound and one or more skin treatments coded on the MDS 3.0 may place the resident into which of the following RUG-IV categories, if he or she has the requisite ADL score (as published in the final SNF PPS rule for FY 2010): a. Extensive Services b. Special Care c. Clinically Complex d. None of the above Editor's note: Check out the answers in the next MDS Alert.
MDS Alert
- MDS 3.0:
Ready to Ramp Up Discharge Planning Under Section Q?
This one simple strategy can help reduce rehospitalization. The MDS 3.0's Section Q spells out [...] - MDS 3.0 Provides a Template for Discharge Instructions
Don't forget to include advance directives. If you're in the market for a "to do" [...] - ASSESSMENT:
The Medi-Cog Can Identify Residents' or Family Caregivers' Ability to Set Up a Pillbox
Find out what it could mean if someone passes the cognitive screen but fails the [...] - TOOL:
Medication Transfer Screen Helps Assess a Person's Ability to Organize a Pillbox - READER QUESTION:
Would This Physician's Initial Certification for SNF Care Fly With the FI/MAC?
Question: Can a hospitalist sign the initial cert for Part A SNF services? Our SNF [...] - QUALITY IMPROVEMENT:
Rehab Therapy Home Visits Can Be the Ticket to Improving Discharge Safety
Consider using a 'book end' approach. "Have therapist, will do home visits" may become the [...] - Risk Assessment:
Find Out How the MDS 3.0 Defines the Severity of Fall-Related Injuries
3 categories can help everyone get on the same page. The MDS 3.0 Section J1900 [...] - QUALITY ASSURANCE:
Tap the MDS 3.0's Heightened Risk Prediction Powers
Coding for falls and behaviors can give you an edge in heading off problems. The [...] - TOOL:
When a Resident Shows Signs of Delirium, Consider Using This Data Collection Form
Don't miss some of these common causes of delirium. - WOUND CARE TIPS:
3 Strategies Can Improve Surgical Wound Outcomes
If a resident has a dehisced surgical wound, consider this approach. Pressure ulcers and other [...] - Test Yourself:
What You Don't Know Can Hurt Your Surgical Wound Care Coding and RUG Scores
1. Which of the following constitutes surgical wound care for purposes of coding it in [...] - MEDICARE:
Don't Rack Up Unfair RAC Denials: Follow These 6 Rules for Appealing Payment Recoupments
Even if you're dead wrong on an issue, check out this often overlooked escape hatch. [...] - MEDICARE, SURVEY & CLINICAL NEWS TO USE
Worried That Lack of Bona Fide 3-Day Hospital Stays Could Pull the RUGs Out From [...]