I think that you have assessed correctly. You would need to code the coma if it was diagnosed during the observation period. You could not code the resident as total dependence with ADLs since he required less assistance for part of the observaton period. Your medical record should explain the unusual MDS coding. ----- Original Message ----- From: "Carol O'Brien" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Friday, February 06, 2004 1:40 PM 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. > > _________________________________________________________________ > Check out the great features of the new MSN 9 Dial-up, with the MSN Dial-up > Accelerator. http://click.atdmt.com/AVE/go/onm00200361ave/direct/01/ > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
