Some states are more stringent than the federal guidelines and do not allow coding the MDS from summaries, there must be documentation within the observation period...usually those which pay based on the MDS.
Dorothy Wolfe <[EMAIL PROTECTED]> wrote:
Dorothy Wolfe <[EMAIL PROTECTED]> wrote:
We just had a DMAS audit. The auditor had the following to say:
"Ancillary care and Nursing Quarterly notes and summaries were
consistently written after the ARD and cannot be used as validation."
If an assessment is made and there is anything out of the parameters of
the resident's normal limits, that is documented on and addressed
immediately. Otherwise,
ancillary care and Nursing Quarterly notes and summaries are generally
written after the ARD, however, they do reference the date that
assessments/ interviews etc. took place within the look back period.
Isn't that acceptable? For instance, if the ARD is Sun., 2/1/04 and I
write a note on 2/5/04, after the care plan meeting, saying that I
assessed and interviewed the resident on 1/31/ 03 and found blah blah
blah, and then indicate that the care plan meeting was held on 2/5,
isn't that ok?
How do you all document for MDS purposes?
Thanks,
Dorothy
Dorothy Wolfe, BSN, MDS Coordinator
The Virginia Home
1101 Hampton St.
Richmond, VA 23220
804-359-4093
This message is confidential, intended only for the named recipient(s)
and may contain information that is privileged or exempt from disclosure
under applicable law. If this message contains protected health
information (PHI), it should not be forwarded to any other recipient
without the authorization of the original sender and should be encrypted
when possible. If you are not the intended recipient(s), you are
notified that the dissemination, distribution or copying of this message
is strictly prohibited. If you receive this message in error, or are not
the named recipient(s), please notify the sender at either the email
address or telephone number above and delete this email from your
computer.
/----------------------------------------------------------
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
-----------------------------------------------------------/
Do you Yahoo!?
Yahoo! Finance: Get your refund fast by filing online
