RE: Change Rug

[Pam Allen]

Do you happen to have an audit tool you would be willing to share? I have a very old tool and am trying to revamp our process. Thanks in advance. You can email me at [EMAIL PROTECTED].

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Joyce Nicholson
Sent: Saturday, February 14, 2004 11:41 AM
To: [EMAIL PROTECTED]
Subject: RE: Change Rug

I don't audit every MDS (no time for this), but have set a standard to do 10 per month--works best for time mgt. to do 2 one week, 3 next, 2 next, 3 next. I do this from a quality assurance standpoint and am looking for trends where I need to focus on re-training MDS coding or supportive documentation, and changing strategies to improve reimbursement, etc.
I approach it by looking only at the reimbursement items (while doing this, I sometimes note errors in other areas as well)---we are in a case mix state and have state external auditors come once a yr. to validate our MDS with the RUGs, so I feel I am ahead of the game by doing this.  I am hard on the facility when documentation is questionable so we can improve.  Try to conduct the audits as if I am from the state team or a DAVE team.  I think it can ony help to make us better.  I would rather find the time to do this than have the auditors, state or DAVE find our problems....doesn't really take that much time if you spread it out and it goes fast er after you get into a routine with it.

By the way, I am auditing others MDS coding as well as my own, although I complete some of the MDS, I don't do them all.  Unit nurse managers who know their residents better than I complete the majority of their own MDS.  Before anyone asks, 204 census, 35 Medicare, most of which stay only 14-40 days so lots of admissions,  2 MDS coordinators, ....

>From: <[EMAIL PROTECTED]>

>Reply-To: [EMAIL PROTECTED]

>To: <[EMAIL PROTECTED]>

>Subject: Change Rug

>Date: Wed, 11 Feb 2004 17:27:04 -0500

>

>Found an error in last MDS that we sent on Med A patient[14 day sig change]I want to put in correction to include IV med and O 2 in last 14 days.I assume I put in correction and have billing do adjustment with the higher rate?????Wish we could find time to audit these MDS periodically to be sure we are getting best rates.We all can make mistakes when we are in a hurry which I find near the end of the month when billing wants the Rugs.Any thoughts out there?Are many doing audits before MDS goes or afterwards?

>

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