Rena, I know you clarified this some
time ago. Can you do it again? I believe what you said was is if the
piggyback contains medications, then you only count it in P1ac. Is this
correct?
Brenda W. Chance, RN,
RAC-C
MDS Coordinator
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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
Sent: Monday, January 19, 2004
5:17 PM
To: [EMAIL PROTECTED]
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 “push”
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
