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The way I interpret this is that PPS assessments, which are for payment
purposes only, do not affect the care plan, and thus do not require Significant
Correction. A modification is all that is needed to correct the assessment in
the database. (Although, a corrected billing claim may need to be done if the
RUG changes based on the modification).
The OBRA assessments, which lead to the care plan, can be modified, if the
error was not clinically significant. If the error was significant (as in the
earlier example this week of a pressure ulcer not being coded) then the RAPs and
care plan would not be accurate, and the Sig Correction would need to be
done.
Holly
Holly F. Sox, RN, RAC-C
Clinical Editor
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- Re: Opinions requested Holly Sox, RN, RAC-C
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