RE: Modification; RENA PLEASE COMMENT

[MDS Lady]

Ok, I'm not Rena and was the one who stated you can modify an ARD - if it is a data entry error.

 

I have attached a Correction Case Study put out by CMS (HCFA at the time) that I downloaded from the AANAC website which shows what to do if the ARD is incorrect.

 

Here is a error message you get when you modify the ARD (bolding mine): -332 New assessment: A new assessment has been created in the database of the CMS MDS system at the State with the information submitted in this modification request.

Cause:* The modification request submitted contained enough changes in key fields that this assessment was considered a new assessment rather than a modified assessment. Modification of the following fields will cause this message to occur: A3a (assessment reference date), A4a (date of reentry), or R4 (discharge date).

Hope this helps.

Action: * Check the data to be certain there were no errors. If there are none, no action is required. If there are errors, correct using the MDS Correction policy.

"Felix, Rosalie" <[EMAIL PROTECTED]> wrote:

Hi Rena,
I have two conflcting answers, one is I can change the ARD date(modify) and the other response is I cannot. Please advice. Thanks!
> -----Original Message-----
> From: [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED] On Behalf Of MDS Lady
> Sent: Monday, May 03, 2004 3:06 PM
> To: [EMAIL PROTECTED]
> Subject: Re: Modification
>
> If the assessment was truly completed using day 5 as the ARD you can only modify the therapy minutes to fit the actual ARD of day 5.
>
> If the ARD is a data entry error AND the therapy minutes are also incorrect you can modify both with one modification.
>
> Page 1-8 of the Correction Policy manual states: Number of items changed with a modification request. There is no limit to the number of items that can be changed in one assessment or tracking form record with a single modification request.
>
> In fact we ask our facilities if they do find an error requiring modification to check the assessment carefully to see if there are any other errors and correct them at the same time. Otherwise when any other errors are discovered we have to modify the modification.
>
> "Felix, Rosalie" <[EMAIL PROTECTED]>wrote:
>
> Hi Gang,
> I have a question re: modification of assessment. We have a patient that we did a 5 day last month, only to find out a month after that the ARD and the minutes were wrong. Our fill-in MDS person did the assessment on exact 5 day and our rehab person gave her minutes based on 8th day( she used the 3 day grace). Now my question is can I do a modification not just on minutes but also the ARD? Can I change the ARD date?
>
> Ma. Rosalie Felix, R.N.
> Director Of Nursing
> The Terraces of Los Gatos
> 408-356-1006 ext.105
>
>
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> Be sure to visit the AANAC website. Accurate answers to your
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/

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ARD Correction Case Study.pdf
Description: ARD Correction Case Study.pdf