This item was brought up by my dietician a few months ago, and I felt the same way you did, that piggybacks are not considered a nutritional approach, but the state RAI (Cathy Brunson, Louisiana) stated it is considered, and you are to code it in both places. My suggestion it to get it in writing from you state RAI coordinator.
[EMAIL PROTECTED] wrote:
[EMAIL PROTECTED] wrote:
I disagree with the IV hung by staff changes the coding for eating. If a resident is getting IV ABX and it is hung by staff it is counted in both K and section P, but since it is not a hydration issue I do not agree that it should change the coding for eating. AM I totally off on this one?LisaIn a message dated 1/19/2004 3:52:25 PM Mountain Standard Time, [EMAIL PROTECTED] writes: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 -----From: [EMAIL PROTECTED]Sent: Monday, January 19, 2004 4:17 PMSubject: 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
> ATTACHMENT part 2 message/rfc822
From: "Michelle Witges" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Subject: Re: K5A Coding IV Piggybacks
Date: Mon, 19 Jan 2004 16:57:22 -0600
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 -----From: [EMAIL PROTECTED]Sent: Monday, January 19, 2004 4:17 PMSubject: 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
Cliff Peebles, RN
Director/Nurse Manager
Skilled Nursing Unit
Lane Memorial Hospital
Zachary, Louisiana
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