Listen to this article Your browser does not support the audio element. All signs point to one universal truth for the nurse assessment coordinator (NAC): MDS accuracy is paramount, says Joel VanEaton, BSN, RN, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, executive vice president of post-acute care regulatory affairs and education for Broad …
Listen to this article Your browser does not support the audio element. Nurse assessment coordinators (NACs) are often tasked with navigating the complex process of following the Minimum Data Set (MDS) instructions precisely while still ensuring they reflect the resident’s true clinical picture. In many situations, the answer is not …
Question: Can you please clarify “head injury”—the criteria for coding major injury at J1900C? Answer from Jessie McGill RN, BSN, RAC-MTA, RAC-CTA: CMS did not provide a definition of major injury but instead provided a list of comparable injuries: “Includes, but is not limited to, traumatic bone fractures, joint dislocations/ …
Question: When coding height for a resident with bilateral lower leg amputations, do you code the height prior to amputation or after? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: You code the height in the 7-day look-back. If the resident now has bilateral amputations, the height would be measured …
Question: If a long-stay resident has a Stage 2 pressure ulcer and it heals, would a Significant Change in Status Assessment (SCSA) be required? Answer from Jennifer LaBay RN, RAC-MT, RAC-MTA, QCP, CRC: On page 2-24 the RAI User’s Manual defines a Significant Change in Status as “a major decline …
Listen to this article Your browser does not support the audio element. For years, nurse assessment coordinators (NACs) managed the long-stay (LS) antipsychotic quality measure largely through section N of the Minimum Data Set (MDS). Accurate 7-day look-back coding was the primary lever that facilities could pull to reflect their …
Listen to this article Your browser does not support the audio element. Few Minimum Data Set (MDS) items carry as much regulatory weight and ethical considerations as physical restraints. The decision to use any device that restricts a resident’s movement or access to his or her own body must balance …
Question: Am I able to code “yes” in item J1400, Prognosis, when the documentation supporting “life expectancy less than six months” is signed by nurse practitioners or physician assistants, or is a physician signature required? Answer from Jessie McGill, RN, BSN, RAC-MTA, RAC-CTA: Yes, if allowable by state laws, on …
Question: What specialized training is needed to capture respiratory therapy provided by nurses? Answer from Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC:The Glossary of the RAI User’s Manual (Appendix A-22) states this: Respiratory Therapy Services that are provided by a qualified professional (respiratory therapists, respiratory nurse). Respiratory therapy services …
Question: When a resident is discharged to the hospital and admitted with a diagnosis of UTI. Does the UTI get coded on the discharge return anticipated MDS? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: If the diagnosis of UTI did not occur until the resident was at the …
