RE: PRI-NewYork State Assessment-MD question

[Callie Larson]

The PRI is a New York State Medicaid assessment tool!  The rules differ from those on the MDS.

 

For the PRI, the rules state that "A visit qualifies whether it is on-site or off-site, as long as the patient is not an inpatient in a hospital/other facility."  If you have documentation that the resident was examined by an MD,  NP, or PA and the visit was for an unstable condition you can count it. These qualifiers are almost certainly met with an ER visit!

 

If you still have questions, contact the PRI hotline at 212-213-8186.

 

By the way, it will help the non-New York people if you include a reference to NY in your subject line.  I believe NY is the only state that uses the PRI, so most of the listserve participants do not know what it is!

 

 

Brenda Chance <[EMAIL PROTECTED]> wrote:

Per the MDS manual, ER visits do not qualify as Physician visits on the MDS.  The MDS manual for clarification in section P7, �This does not include exams conducted in an emergency room.  If the resident was examined by a physician during an unscheduled emergency room visit, record the number of times this happened in the last 90 days in Item P6, �Emergency Room (Visits).�

 

Brenda W. Chance, RN, RAC-C

MDS Coordinator

 

 

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-----Original Message-----
From: Corey [mailto:[EMAIL PROTECTED]
Sent: Monday, November 24, 2003 8:40 AM
To: [EMAIL PROTECTED]
Subject: Re: PRI

 

It does for the MDS.  Don't know about the PRI

----- Original Message -----

From: Bogda Habich

To: [EMAIL PROTECTED]

Sent: Sunday, November 23, 2003 8:06 PM

Subject: PRI

 

Hello group, please help. Does the visit to the ER qualifies as the MD visit? Thank you. Bogda.

Caroline Larson, RN, MS, RAC-C

MDS/PRI Coordinator

Fairport Baptist Homes, Fairport, NY 14450

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