Title: Message
|
For ADL's get Resource Systems' Caretracker-
expensive but great. We had only one ding on ADL's this week on Medicaid
audit. We taylor make our 24hr summary during week of observation for
Medicaid- i.e. List 3 items and tell which ones res could recall after 5
minutes. Caretracker is great for all this tracking but someone still
needs to narratively write the specific example.
Decision making is the hardest one to track.
Does anyone have a good example? Auditors would not accept refusal of meds
or food. They said that is a choice not a decision.
Whatever!!!!
----- Original Message -----
Sent: Wednesday, February 04, 2004 6:18
PM
Subject: Medicaid charting
After
completing a the RUG III, Supporting Documentation and Case Mix Reimbursement
class that deals with the system for Medicaid and RUG reimbursement, our
facility has hit a brick wall in regards to the documentation. Specifically 7
day 14 day and 30 day(look back period) documentation that would support the
MDS. We are trying without success to get the documentation we need. How has
every one been dealing with this change? Are you using the same documentation
as before? Has anyone come up with assessments just for Medicaid documentation
and the specific look back periods? Are your staff complying? If not then
what? One thing that stands out from the class was that best way to get
accurate documentation from the staff for the 7 day look back for ADL's is to
have only licensed staff document for those 7 days. What is everyone doing? If
you have any documentation or a helpful solution I would love
to hear it or see it. I realize this may be a time consuming question but
please know your response is appreciated. I look for this information on
the website daily and don't see anything which makes me think someone's got
this figured out. Thanks for your undying support. [EMAIL PROTECTED]
|
