down coding? - page 2

by crissrn27

So, I was supposed to have Meyers and Stauffer in last week, but got postponed. My question is, do you guys down code for them (or the agency that comes in to try to take the tiny bit of money you get?, lol). If you have a hole... Read More


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    AHHHHHHHHH!!! So what are you guys doing, real practice? At this point I am down coding, and explaining in my raps, but this just doesn't feel right. The system is supposed to work, you do an accurate assessment that portraits the resident, then you do accurate raps, then an accurate care plan. How is that supposed to work when you down code because of a hole but they are really total care, or extensive, etc. We have many holes, I've been there a year and it has not gotten any better. I like the idea of making the ones leaving the holes write a clinical note that the resident was ______ on that day, if they have to do that enough maybe they would just chart. Oh how I wish for Icare or some type of computer charting.
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    Quote from Bella'sMyBaby
    Nascar Nurse, you are exactly right. The State Auditors told us that if the MDS Dept. changes the ADL coding (late loss ADL's) this would be a good way to lose our nursing licenses.


    What state are you in?
  3. 2
    Quote from crissrn27
    AHHHHHHHHH!!! So what are you guys doing, real practice? At this point I am down coding, and explaining in my raps, but this just doesn't feel right. The system is supposed to work, you do an accurate assessment that portraits the resident, then you do accurate raps, then an accurate care plan. How is that supposed to work when you down code because of a hole but they are really total care, or extensive, etc. We have many holes, I've been there a year and it has not gotten any better. I like the idea of making the ones leaving the holes write a clinical note that the resident was ______ on that day, if they have to do that enough maybe they would just chart. Oh how I wish for Icare or some type of computer charting.

    I am not "down coding".. I'm just marking what I can validate as the truth. I also educate, educate, educate. If that doesn't work (and it won't with some staff) then I start writing em up. I don't like that, but it's gotta be right & they know I'm going to be looking and following up so i really don't have to much trouble.
    crissrn27 and Bella'sMyBaby like this.
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    Quote from Nascar nurse
    What state are you in?
    Indiana


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