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I would be tempted to code a "1" if on the same
day, especially if same shift. If it seemed as if the 2 episodes were
really a continuation of the same short-term problem, I might go to the code of
1. But if it was clearly 2 different episodes, I would code as a
"2."
----- Original Message -----
Sent: Tuesday, December 09, 2003 3:32
PM
Subject: Re: H1a - bowel continence
Not sure if on the two instances were on the same day or not....so how
would you code it if the 2 episodes were on the same day? carol
maher <[EMAIL PROTECTED]>
wrote:
This is a tough one, but does happen fairly often. When I am
doing ADL or continence training, I teach to start at the bottom (most
independent) and work your way up until the answer fits. So, for this
one, I would eliminate the coding of 1 because it does not fit that "bowel
incontinent episodes occur less than once a week"--since there were 2
episodes. So I would code it as a "2" bowel incontinent episodes occur
once a week. It does not fit that one perfectly either, but is a
better fit than the coding of "1". I know that moving to the 2 is a
significant change criteria though. The decision might be affected if
the episodes were on the same day. Was the resident incontinent twice
on the same day ,or was it different days in the first
week? -----Original Message----- From: MDS Lady
<[EMAIL PROTECTED]> Sent: Dec 9, 2003 6:44 AM To: [EMAIL PROTECTED]
Subject: H1a - bowel continence
I have a question that I am just trying to get a consensus of opinions
about on H1a bowel coding.
If a resident had two episodes of bowel incontinence in week 1 and no
(zero) episodes in week 2 would that be coded as 1,2 or 3.
So far I am getting a 1 because it did not happen at all the second week
from those who care concerned of a payment audit and 2 from those who are
concerned about a state audit.
Please include your reasoning behind your answer.
Thx in advance!
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