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Ask Proactive – When coding IV fluids “while not a resident” in section K of the MDS for a resident who does not have a dehydration diagnosis what documentation would support that the IVFs were administered for nutrition/hydration?

Q: When coding IV fluids “while not a resident” in section K of the MDS for a resident who does not have a dehydration diagnosis what documentation would support that the IVFs were administered for nutrition/hydration?     A: The key to supporting the coding...

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Ask Proactive – We have a resident who was admitted to the nursing home on 2/4/24 and scheduled their MDS admission assessment with an ARD (assessment reference date) for 2/11/24. They elected to enroll in a hospice program on 2/9/24. We know a significant change MDS assessment needs to be completed when a resident elects hospice. Do we need to schedule a significant change MDS assessment in addition to their admission MDS assessment?

Q: We have a resident who was admitted to the nursing home on 2/4/24 and scheduled their MDS admission assessment with an ARD (assessment reference date) for 2/11/24. They elected to enroll in a hospice program on 2/9/24. We know a significant change MDS assessment...

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Ask Proactive – We have a lot of residents on Scheduled Toileting. I’m worried we won’t get credit for them during our next CMI validation. What will I need to show our review nurse to receive credit?

Q: We have a lot of residents on Scheduled Toileting. I’m worried we won’t get credit for them during our next CMI validation. What will I need to show our review nurse to receive credit?     A: The RAI Manual MDS item H0200C, 'Current Toileting Program'...

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