Re: Missed Assessment

[Nathan]

Title: Missed Assessment

If the resident is gone, you will just have to take the hit on the careplan. There is no reason, clinical or financial, to justify doing the plan after the resident leaves. Be aware you could be hit on a survey for not having done it in a timely manner. Was the resident there for less than 21 days? If so, you may not be at such a high risk since you would not have to have completed the careplan, but they can still get you for not having started one.   Nathan ----- Original Message ----- From: Brenda Chance To: [EMAIL PROTECTED] Sent: Friday, January 23, 2004 1:46 PM Subject: RE: Missed Assessment Nathan,   What would you do for a care plan?  I have never had this happen so I want to know what you would do.  I know for a resident in house you would go ahead and schedule, QA like I said before, etc.  But what would you do since the resident is being discharged especially since this is managed care and payment may hinge on the care plan, MDS, etc.   Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Nathan [mailto:[EMAIL PROTECTED] Sent: Friday, January 23, 2004 3:57 PM To: [EMAIL PROTECTED] Subject: Re: Missed Assessment   You are better doing the assessment late than not at all. Here is what I would do.   Set the ARD for the last day that is acceptable. If this is an Admission Assessment that would be day 14. That date may be a week or more in the past...so be it.  Setting the ARD during the correct date range ensures that the data in the assessment is correct. Your R2b (and VB2 and VB4 if appropriate) has to be the ACTUAL date on which you completed the assessment. It can't be legally backdated. Try to finish the assessment within 14 days of the ARD. If you can't do it, then finish as soon as possible.   Try to submit the assessment within 30 days of the ARD rather that 30 days from completion. This keeps as much of the timing as possible in the correct range.   Nathan ----- Original Message ----- From: rlabarge (Becky LaBarge) To: [EMAIL PROTECTED] Sent: Friday, January 23, 2004 11:32 AM Subject: Missed Assessment   Talkers - help please.  How do you handle missed assessments when you are beyond the 14th day of admission and discover the error? Would you set the ARD for date of discharge and do the assessment after the fact?   Thanks. Confidentiality Notice:  This e-mail message including attachments, if any, is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material.  Any unauthorized review, use, disclosure or distribution is prohibited.  If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.  If you are the intended recipient but do not wish to receive communications through this medium, please notify this office immediately.