EDS AUDIT

[gonenutz]

I am from Indiana and I have a couple of builings in their window for their audits. Does anyone have any tips on what EDS' targets are this month? They tend to get on their tangents. I had one building that they couldn't find any issues so they tried to throw out all the restorative because the builing kept the mds and care plans in a seperate binder and EDS was trying to say that this was not part of the clinical record. Of course this didn't fly and the building received a 98% on their audit but they called me in because they were beside themselves. It just took a phone call to the groups supervisor and the issue was resolved.

[Ruas61, BSN, RN]

EDS? Do they target specific things during audits in your state? I am in Minnesota and curious about how other states audit their MDS.

[dbsue1954]

hi....nw indiana here...eds audit done in dec. the surveyors disallowed one record on healing surgical wound (it was down to steristrips) because documentation did not provide a thorough enough description of wound ("steristrips intact ,edges well approximated and no drainage or excessive redness to surgical site ")was not good enough for them. they disallowed 2 records because social service did not cite specific enough examples to prove short term memory deficit,decision making.... please make sure that the title of your restorative program match the titles in the mds section p for restorative. we had a record thrown out because we had a program called restorative dining program and that did not match the choices in section p . they fatal errored a record because a correction had been made on adl grid...the nurse had drawn a line thru it and initialed but did not put the date of correction with her initials....i some how missed that one when doing the assessment.of course having a discharge sheet from the hospital showing the resident received iv fluids is not good enough...we saved a record by obtaining the copy of the actual med sheet which had to be accompanied by the signature log of the hospital nurses to id who had given it......this year i learned to double check my grids for an errors not completely corrected......make sure to have the proper documentation for hospital iv captures and to make sure social services have enough documentation. i alos do not code surgical wounds as surgical wounds once the sutures/staples are out and they are almost healed. i found our eds surveyors easy to wrok with and they were able to give me alot of good advice. beter to not code code something if you do not have it documented heavily. hope this helps...we did pass...for some reason they did a full audit of all records.....they said sometimes they do this if the previous score was low........(last year was an 81%) this year we got an 86%!!!!!!! good luck

[gonenutz]

In Indiana EDS is a contract company that comes in and audits the mds' in the payable sections. we have supporting documentation guidelines we have to follow to goalong with the payable items. In a nut shell they come in every year to audit theMDS to see if everything is coded correctly if not the record is unsupported and you lose that RUG classification that the record was in. This ultimately affects your CMI. this is a quick run through if you got all day i can explain further. the get really nit picky at times. such as the restorative programs not having the same title as in section p. errors on adl grids, resident numbers and dates being left off. 2/1 as opposed to 2/2/09.