removing tray covers and cutting food and buttering bread is all set up
You are correct. However, this is only one part that is unfolded, Support Provided is Eating = X
Now, how was the food/drink delivered to the resident's mouth (Self-performance)?
= 0 or 1, then 0/1 and 1/1 are the only valid answers.
= 2, 3, or 4, then 2/1, 3/1, & 4/1 are illogical answers.
In a nut shell, if the ADL self-performance is limited, there must have been at least 1 person who provided support. Hence Eating = 2/2
Incorrect ADL coding is the most common culprit of incorrect reimbursement. That 1 point ADL Sum difference can bring you up or down a RUG category. You can either be underpaid or overpaid.
You are also correct in relying on documentations to code the MDS. Let Admin realize before you change the coding, the documentations must change first if they are incorrect and the staff reeducated.
have us focus on is therapy evaluations
Rehab yields the most reimbursement. Some long term residents may benefit therapy to maintain or regain function which some of us may assume - "they're old, it's what they are, and what they're gonna be"
I was hoping to find out if there is a book or website that ead more user friendly than the RAI
I am not aware of a so-called "MDS 3.0 For Dummies" although for years I've always mused of authoring one. But, the incessant revisions bog me down
There are also ADL coding instructions in youtube. However, only the RAI Manual can explain the ADL coding in details.