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It counts for both and also remember that IV's are part of
section G ability to eat. If they get IV's and they are hung by staff that
will change your coding of staff support for eating. This is something I
still have problems with.
Michelle
----- Original Message -----
Sent: Monday, January 19, 2004 4:17
PM
Subject: K5A Coding IV Piggybacks
In the RAI update listed
below, CMS seems to be saying that if an IV medication was given in a
100ml bag hung by it self, it can be counted as both IV Fluid ( Do include the IV Fluids in the IV
piggybacks.) and in P1ac IV medications.
My first impression is that an IV ABT in the 100ml bag normal saline for
example would be counted only for IV medication. Others are saying that it
would count for both IV Fluids(100ml) and IV meds. -- does it count as one or
both --it can make a real difference if this is a PPS resident?
CHANGES TO THE DECEMBER 2002 RAI MANUAL,
VERSION 2.0 AUGUST 2003
Parenteral/IV - Intravenous (IV) fluids or hyperalimentation, including
total parenteral nutrition, given continuously or intermittently. This
category also includes administration of fluids via IV lines with fluids
running at KVO (Keep Vein Open), or via heparin locks. This category does not
include administration of IV medications. Do not code IV âpushâ medications here. Do
include the IV fluids in IV piggybacks.
IV medications dissolved in a
diluent, as well as IV push medications are captured as IV medications in
P1ac. Do not include IV fluids that were
administered as a routine part of an operative procedure or recovery room
stay. Do not include insulin administered intravenously. CH 3 3-154
___________________________
Garnett
Wooten RN
Case Mix Manager
Southern Healthcare,
LLC
904-612-9893
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