RE: IV if to code for part A

[Orth, Ron A]

I have always allowed the H & P if we can validate that the entire hospital stay of the resident was within the 14-day lookback period for IV meds.   example:  Resident is in the hospital for 4 days and it is documented that the resident received IV med treatment of some sort in the progress notes or discharge summary.  In doing the 5-day assessment, depending on the ARD, looking back 14 days would include the entire hospital stay so I then count it.  If the resident was in the hospital for a prolonged stay, then there would be no way to determine if the IV med was given during the lookback period unless you had solid documentation such as a MAR. Ron -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Tuesday, February 10, 2004 12:36 PM To: [EMAIL PROTECTED] Subject: IV if to code for part A     I just receive a resident from a Veterans facility,  SNF. According, to the H&P per MD which is signed .  That this resident had IV vanco in the snf but I have no MAR to support with sign of nurse. ONly what is written in the H& P . Would you code IV med in section P this is Part A MDS. nancy