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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