Debbie,
I apologize for coming in at the end of this thread but I wanted to remind 
you to always refer to the Resident Data Reporting Manual (PA specific) for 
information about the UMR team.  In chapter 10 - the manual outlines 
specific items from the MDS that the UMR team reviews during their visit to 
you. In reference to section G, page 10-6 states: "Do not select Activity 
did not occur (8) unless this is true during the entire 7-day period. If 
the activity occurred once, even at a Total Dependence (4) level, that code 
should be selected rather than (8)". If you follow the directions as 
outlined in this manual as well as the RAI manual, you will not receive 
errors from the UMR team.  The current manual (9/17/03) can be downloaded 
from the PANAC website (www.paanac.com) - be sure to watch for the release 
of the new manual, coming soon, that will include the update on the new 
definition of "MA day of care".

Tracy

-----Original Message-----
From:   [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED]
Sent:   Thursday, March 25, 2004 7:14 AM
To:     [EMAIL PROTECTED]
Subject:        Re: ADL coding question

Thank you everyone. I will code as you all have suggested but I am 
frustrated
by the fact that the UMR team will give us errors because they say it has 
to
be coded at least three times!!
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