Quote from noc4senuf
Ok, now I need to see if someone has any suggestions. When our state case mix review was in here, they said that in order to capture payment on Section E, we need to have some sort of tracking or documentation in that 30 day window to show what the mood and behavior issues were.
We already have the CNA's completing behavior tracking due to psychotropics but, they want something more specific to also cover mood. Anything I have looked at is time consuming for the nurses and am trying to prevent giving them additional work to do.
To be able to factor the signs of depression in a higher case mix (CC2, CB2, & CA2), it has to meet 2 requirements:
- A score of 1 or 2 in Section E1, AND
- There must be at least 3 indicators (as outlined in Section E1) scoring 1 or 2.
To score a 2 (Indicator of this type exhibited daily or almost daily, 6 or 7 days a week), you would likely need to provide documentation of occurrence on a daily basis. Thus, identify the common symptoms a resident exhibits. Enter these symptoms in an MAR format (as you would the name of a medication) See attached sample. You can also integrate your behavior symptom monitoring into one sheet.
To score a 1 (Indicator of this type exhibited up to 5 days a week), all that is needed is one documentation that a symptom occurred during the 30-day period. Therefore, one nurse's note identifying 3 different symptoms suffices. Or 3 separate nurses' notes each identifying 3 different symptoms.