MDS Manual Revisions April 2004

Specialties Geriatric

Published

Specializes in ER CCU MICU SICU LTC/SNF.
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Thanks Talino! :)

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Talino, am I reading this right?

If I have a resident that is independent for bed mobility utilizing half siderails, but staff puts the siderails up for them, they would be coded as set-up?

Also, are we NOT supposed to be coding for long acting medications anymore, ex: Vit. b12 inj. given a month ago? :rolleyes:

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Specializes in ER CCU MICU SICU LTC/SNF.

hi oceanblue...

if i have a resident that is independent for bed mobility utilizing half siderails, but staff puts the siderails up for them, they would be coded as set-up?

that's correct!. a typical example can also be seen in p 3-83 of the rai (bed mobility - under coding rationale: "resident is independent in task", add the clause "set-up help only" - revised aug. 2003.

also, are we not supposed to be coding for long acting medications anymore, ex: vit. b12 inj. given a month ago?

under section o instructions, process: "for example, if the resident received a long-acting antipschotic medication prior to assessment period (e.g., if a fluphenazine decoanate or haloperidol decoanate is given once a month) count as one drug." this entire clause has been deleted in the august 2003 revision.

count only if this medication was administered over the last 7 days (of ard)

revisions in august 2003...

http://www.cms.hhs.gov/medicaid/mds20/rai1202-0803chg.pdf

'hope that helps ;)

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Thanks again Talino, your a great help!! :kiss

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Where do I look for these changes? I wouldn't have known unless I came here. Can you get updates via email?

thanks!

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We have an MDS support group, it is instructed by nursing consultants in our area that are proficient in MDS, and its EVER changing ways. Each month a facility in the area hosts a new meeting to discuss various topics. It is wonderful and has been very helpful. It was started by a couple of MDS Cooridinators that were tired of always being the last to know.......lol

But is a truely wonderful program, wouldn't miss a meeting if my life depended on it.

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