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Be sure you know what your particular state requirements
are. In IL, the IDR and the POC are two seperate but parallel
processes. Submitting a request for IDR does not delay the
imposition of remadies, or the requirement for a timely and acceptable
POC.
----- Original Message -----
Sent: Friday, April 16, 2004 1:17
PM
Subject: RE: vegetative state
Personally I would IDR it. RAI manual pg 3-42
If
the resident ahs been diagnsoed as comatose or in a persistent vegatative
state, code '1'. Did the MD document a diagnosis of either? If so,
you were correct in coding this. You can't do a plan of correction on
something that was done correctly.
Ron
State surveyors just left yesterday
and we got dinged for coding coma on a pt. that is in vegetative
state. There is an MD documentation and no documentation that pt.
respond to any stimuli except she grunts when being turned. Grand
daughter told surveyor that her grandmother speaks to her in the morning but
no one else heared it nor saw it the whole time she was on our floor.
Pt's eyes open spontaneously.
I showed the surveyor MD's
documentation and she said MD's assessment is different from MDS
assessment? I wanted to ask her if she has read the Manual and
attended AANAC conferences and became RNA-C? It sounds like she was
looking very hard to find faults and she LOOOOOOVE her POOOOOOWEEER!
How do we make plan of correction on this instance?
Thanks!
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