Re: Facility chooses not to show services?

[Corey Ali]

The nebulizer & other therapy services are captured on the MAR, and there are daily restorative notes when the therapy is actually provided, but it is sometimes 2-3 days a week one week, none the next, or only 5-10 minutes a day, which may actually be all that pt. needs or can tolerate.  However, the documentation does not "support" the services provided in terms of minutes per day, etc. ----- Original Message ----- From: Nathan Lake To: [EMAIL PROTECTED] Sent: Friday, January 02, 2004 8:43 PM Subject: RE: Facility chooses not to show services? I don't think you will get in any trouble for not counting the minutes on the MDS, but the reason for not doing so would probably cause some issues. At some point a surveyor is going to ask why you don't count the minutes on the MDS. If the facility says that you don't have enough staff to do it, I would expect some digging by the surveyors to see if you have enough staff to provide appropriate care. It just seems to create a red flag I would not care to create. I assume that the care that is being provided is going into therapy or nursing notes just minus the minutes. You at least need to do that much.   Nathan Lake, RN, MSHA           ----Original Message Follows---- From: "Corey Ali" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> Subject: Facility chooses not to show services? Date: Fri, 2 Jan 2004 20:27:50 -0500 This is a new one for me.  I have a facility that has decided to not show any Restorative Services (due to inadequate number of staff to provide services 6 days a week, although restorative is provided 3-4 days a week) and to not record any Respiratory Therapy services provided from trained nurses (ile.; nebulizer therapy, postural drainage, etc.) because it is too difficult to get the minutes recorded.  Assuming that the MDS nurse follows unwritten directions to not include the restorative or respiratory therapy minutes, is the nurse liable anywhere here? --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.553 / Virus Database: 345 - Release Date: 12/18/2003 Expand your wine savvy — and get some great new recipes — at MSN Wine. /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/   --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.553 / Virus Database: 345 - Release Date: 12/18/2003