How to chart to increase payment.

I'm not a MDS person but if you're trying to get payment increased because someone is nice and pushes an independent resident, it seems phony to me...

You say you don't want to defraud anyone but then you say you deserve to be paid for it...

I'm not a MDS person but if you're trying to get payment increased because someone is nice and pushes an independent resident, it seems phony to me...

You say you don't want to defraud anyone but then you say you deserve to be paid for it...

I would also be concerned that could this drop in independence be considered as a major decline in status??? You know those ugly statistics that governing bodies keep that measure things like pts becoming incontinent after admission and developing decubiti after admission and losing weight ...

In your effort to gain some reimbursement, you've diminished (sp?) the status of your facility, at least on paper. Like you've just said that your pts are likely to decline.

And then wouldn't you have to get Therapy involved for change of statusfor this pt? Then when they evaluate, the pt can still independently wheel himself. Therapy eval doesn't match your classification. Then what?

(I hope others out here understand what I'm trying to explain.)

Settle down guys. I'm only talking about taking credit for the things you do, not realizing that if you chart it the facility can get reimbursed for it. And yes, if I am nice and push a resident to the dining room, that is an assist.

Correct, take credit for what is done, regardless of reasons. However, only late loss adls affect reimbursement , bed mobility, transfer, eating and toileting. That being said, we do actual coding training with each new hire and pair them with a seasoned cna and periodic in servicing . We still come up with errors and we do go back and check with the team about the actual level of assistance provided. As far as QM goes, you wouldn't suddenly drop the whole population to trigger, would you?

Quick ex: independent for eating, night shift cna holds their water cup for them to drink , no longer independent....this came from one of our cna that we talked to because we thought she was coding incorrectly as dependent. She said that after having to change sheets for this patient x2 because of spilled water she now holds it for her. She was correctly coding and taking credit for it.

Gabby63,

I'm not sure of what you mean when you say "drop the whole population to trigger." Sorry but I'm not an Mrs nurse and haven't had much DON training either?