Yes this would be correct.

-----Original Message-----
From: Carol O'Brien [mailto:[EMAIL PROTECTED]
Sent: Friday, February 06, 2004 3:40 PM
To: [EMAIL PROTECTED]
Subject: coma part of review period


We have a resident that had the five day ARD (MCR payment only) set on 1/27.

  On 1/25 he went into a coma (documented by nursing and also MD note 
stating comatose).  Are we correct to code section B1 as yes since he was in

a coma part of the review period?  We then would code ADL's as extensive 
asst (he participated first four days and then was total care last 3 days).

Needless to say this is an unusual situation that looks very strange on the 
MDS.

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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
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