Our facility is
all Medicaid or private pay. Every residents consistently RUGS out high. We are
not for profit and cater to people with degenerative neuromuscular
disorders, head trauma etc.
I do understand that supporting documentation used
in conjunction with the MDS assessment must fall within the appropriate look
back period.
I'm
not using *just* the summaries, but do include them if they fell or contain
information that fell within the appropriate look back period as part of my
supporting documentation . What I'm asking is, can we write
assessment notes for the MDS after the ARD and state in that note
that this or that was done/happened/observed etc. during the appropriate
look back period or do we have to write the note before or on the
ARD. Each discipline generally writes an
assessment note a day or two after the ARD, but indicating in it that this
and that happened during the appropriate look back period for the item being
addressed so that we can capture anything that happened up until midnight
on the ARD.
Now,
while I'm at it, is there anything wrong with consistently setting the ARD on
the same day of the week. i.e. The ARD is every Sun. and care plan meetings the
following Thurs.?
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.
-----Original Message-----
From: MDS Lady [mailto:[EMAIL PROTECTED]
Sent: Thursday, February 05, 2004 10:47 AM
To: [EMAIL PROTECTED]
Subject: Re: Documentation QuestionSome 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: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.
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