Shellie,
Have you checked to make sure all the proper diagnosis are included? How about behavors did this patient have any on the last MDS? Or order changes four or more in the look back period will raise your case mix? One thing you could do is compare the last MDS with this one side by side and see if any of these things got charted differently.
Patty
 
Patty Beeken LPN MDS
Midlands Living Center
2452 North Broadway
Council Bluffs, IA 51503
712-323-7135
 

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