No. This is the way I read the
clarification in section G. If the fluids are being given to supplement fluid
intake, then you code in under section g; otherwise, for antibiotics, etc. you
do not.
Brenda W. Chance, RN,
RAC-C
MDS Coordinator
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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
Sent: Tuesday, January 20, 2004
12:35 PM
To: [EMAIL PROTECTED]
Subject: Re: K5A Coding IV
Piggybacks
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?
In 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.
----- 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 “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
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