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Nancy,
We would need a little more information in order to
answer you question accurately. If your resident self-propels but is
requiring supervision the self-performance for that is 1 but it sounds as if
staff is also wheeling the resident to meals. When staff is pushing it is
4 , but could not code 4 because resident also self-propelled, so the most
accurate response would be extensive assistance. I am not clear what
happens when the resident goes off the unit. If the resident does not
wheel himself at all off unit, it could be total but if the resident does some
of the wheeling off unit, it would again be coded as extensive.
----- Original Message -----
Sent: Thursday, January 22, 2004 8:35
AM
Subject: coding locomotion question
| A confused resident with Alzheimer's is
able to self propel w/c for short distances but has no sense of
direction, no safety awareness and is not able to get to specific places
on unit (ex: to dining room for a meal). How would this
resident be coded for locomotion on unit and off
unit. |
|
|
carol maher <[EMAIL PROTECTED]>
wrote:
It
is acceptable to just do a discharge prior to completion of initial
assessment and take the default rate, but NOT usually a good idea
financially for the facility. Even though the resident was only in your
facility a short time, you could complete a 5 day PPS assessment and code
the information from the hospital which would place the resident in a RUGS
group that could be billed. You would also need to complete a discharge
tracking form with discharge prior to initial assessment. No need to do an
entire admission assessment, just a 5 day PPS for payment. Dash the
answers you do not know.
-----Original Message-----
From:
[EMAIL PROTECTED]
Sent: Jan 21, 2004 3:04 PM
To:
[EMAIL PROTECTED]
Subject: coding medicare assess
According to our
adm. if a resident leaves the facility say prior to 12mn on
the 18th
the last actual day of service would be 17th due to the "midnight
rule". how about the res that is admitted on the 17th and leaves the
facility 2-3
hours later would you do a 5 day or a disch prior to
completion of assess and
just take a default rate?
Thanks
/----------------------------------------------------------
The
Case Mix Discussion Group is a free service of the
American Association
of Nurse Assessment Coordinators
"Committed to the Assessment
Professional"
Be sure to visit the AANAC website. Accurate answers to
your
questions posted to NAC News and FAQs.
For more info visit us
at
http://www.aanac.org
-----------------------------------------------------------/
/----------------------------------------------------------
The
Case Mix Discussion Group is a free service of the
American Association
of Nurse Assessment Coordinators
"Committed to the Assessment
Professional"
Be sure to visit the AANAC website. Accurate answers to
your
questions posted to NAC News and FAQs.
For more info visit us
at
http://www.aanac.org
-----------------------------------------------------------/
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