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Jennifer,
If the fortified foods and/or supplements are being
used to maintain weight/prevent weight loss, then I would not expect them to be
coded as a planned weight change. In my opinion, planned weight change
should be coded when a resident is underweight with plan of care to actually
gain weight, or overweight with a plan to lose weight.
Now, as to her assertion that it would cause
surveyors to "narrow their scope", I think I would ask her where she got this
information. If she is refusing to code it when it is appropriate, then I
would involve management.
Ultimately, unless you are signing at AA9 for
accuracy of section K, I believe I would leave this one alone and let her take
the responsibility for it.
HS
Holly F. Sox, RN, RAC-C
Clinical Editor
----- Original Message -----
Sent: Friday, January 09, 2004 2:45
PM
Subject: Weight Change Program K5h
The dietitian in my facility refuses to mark K5h on any residents
mds.
She states that all her "goals" are to maintain and or prevent weight
loss.
However she orders fortified foods, supplements to increase caloric
intake and prevent wt losses on many. I told her then she should check K5h.
She disagrees saying that if she checked this it would cause Surveyors to
narrow their scope on these residents-which are alot, on wether or not they
are reaching this goal of gaining weight. She states she is not ever going to
check it unless someone "makes" her. Am I right or wrong. Can someone please
clarify this?
Thanks Jennifer in Missouri
As
always-Jen
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