Correction to Prior Assessment

[Melissamds17]

I have a patient who sustained a fall on 3/19/16 with major injury. I completed an Annual assessment with ARD 4/11/16 and I coded for fall with major injury. Today I discovered that was a mistake since the most recent assessment was a discharge assessment on 3/28/16. Which means I should code the fall with injury on discharge assessment only. Do I need to do significant correction to prior comprehensive assessment? Today I tried just to do regular modification the PCC was giving me an alert message that I cannot complete modification since V section has some changes.

[Talino]

It does meet the criteria for a significant error (see RAI p2-28) hence the SCPA is necessary.

The guideline (RAI p5-12) states -

When any significant error is discovered in an OBRA comprehensive or Quarterlyassessment in the QIES ASAP system, the nursing home must take the following actions to correct the OBRA assessment:

1. Create a corrected record with all items included, not just the items in error.

2. Complete the required Correction Request Section X items and include with the corrected record. Item A0050 should have a value of 2, indicating a modification request.

3. Submit this modification request record.

4. Perform a new Significant Correction to Prior Assessment or Significant Change in Status Assessment and update the care plan as necessary.

Hence, PCC should allow you to create the modification first and the SCPA after. You probably just need to acknowledge the alert.

Additionally read the last paragraph regarding SCPA, p5-12 and look at the algorithm p5-15.