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Nathan,
She would have had to start the admission careplan
wouldn't she? Is that required everywhere or state specific? If she had done as
complete an admit careplan as possible would that help?
----- Original Message -----
Sent: Friday, January 23, 2004 5:58
PM
Subject: Re: 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 -----
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
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-----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.
----- Original
Message -----
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.
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