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To code as a UTI on the MDS , you need
:
1. Physician Diagnosis
2. Symptoms
3. Positive lab results
As for your dialysis patient who is new to
Medicare, they would qualify for Medicare A after a 3-day qualifying hospital
stay if they had a daily skilled need. Dialysis is usually not daily, so
does not meet that requirement. The wound might, depends on the wound and
the treatment.
----- Original Message -----
Sent: Thursday, November 13, 2003 7:56
AM
Subject: That UTI question again and
another about skilled level for dialysis...
First question is about UTI. (For some reason I am not processing
at all today.) Resident has positive culture, not being treated for
UTI. Can we still count it on the MDS? I have read the RAI,
checked the updates and still cannot decipher.
Second resident was Medical Assistance, sent out to dialysis 3 times per
week. Stable with dialysis. Resident gets enrolled in Medicare, is
hospitalized for a qualifying period, comes back with skilled need (open
areas) and will resume dialysis. Is it OK to skill him for Medicare - I
did not know if technically he had a 60-break since he was dialysis before his
Medicare enrollment but I also did not think that would have put him at a
skilled level (dialysis was not done here and it was not daily).
Any help appreciated.
Bonnie
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