Re: Intake and Output

[Glenda]

Dehydration and Intake and Out put may include reimbursement in some patients, but this will be on an individual basis.   Concerns with all Medicare PPS residents on I & O:   1. The order is not {or is no longer} clinically appropriate 2. The care plan does not note specific parameters 3. The Intake and Output is not recorded by all shifts or is reported inaccurately   In one instance, the FI took back $$$ from a facility coding dehydration and I & O on the MDS as the dehydration had resolved and/or staff did not consistently record I & O in records they reviewed.   I would be careful coding I & O without clear validation of the reason, the recording of intake and output and the actions taken when parameters were not met. Once dehydration or other issues are resolved and the Intake and Output is no longer needed, I would not continue coding it and would ask if the order could be discontinued.  I would be careful about standard orders for all Medicare patients. ----- Original Message ----- From: Connie L. Frank To: '[EMAIL PROTECTED]' Sent: Friday, October 24, 2003 10:53 AM Subject: Intake and Output Question was posed at my facility, whether all residents should be on I&O throughout the stint on Medicare (particularly if held for skilled nursing only and nontherapy) up to 100 days if necessary.  It is proposed that this will increase the reimbursement. What are you doing? Does it really increase reimbursement and if so how much?