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Was the documentation outside both the 5 day and 14
day ARD? If so I would do a significant change so that the care plan is up
to date. I would also want to find out where your system failed that
someone has a necrotic heel and no documentation.
Carol
----- Original Message -----
Sent: Wednesday, January 07, 2004 5:18
AM
Subject: necrotic heel
We have a resident who has a necrotic heel but
no documentation from MD/RN's was found. This resident was admitted to
acute hospital in October 2003 for spinal stenosis had surgery, went home then
went back to acute hospital in December due to fall w/ fx right hip. I
was able get a documentation from an RN after my assessment window. I
exported the 5D MDS assessment and not coded section M and I'm ready to
transmit the 14D assessment. My question is, should I code section M for
the necrotic heel even though there is no documentation on my 5D and 14D
assessment or should I wait for the 30D assessment to include it on
section M?
Thank you.
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