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AANAC Comes to Boston in August!!
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MDS 3.0 Intensive Training
SEPT 21-23
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From the desk of our CEO Kris Mastrangelo:
MDS 3.0: Coding UTI
Item I2300 Urinary Tract Infection on the MDS 3.0 is within the section seeking information about active diagnosis in the last 7 days. When you review the assessment itself you will note that it states (LAST 30 DAYS) after UTI. This is the only item in this section that has a different look back date for diagnosis status. All other items observe the 7 day look back instruction for diagnosis status. Further, CMS has clarified the circumstances when coding UTI on the MDS 3.0 is indicated.
The manual states the following on page I-8 in regards to coding UTI:
* The UTI has a look-back period of 30 days for active disease instead of 7 days. * Code only if all the following are met: - Physician, nurse practitioner, physician assistant, or clinical nurse specialist or other authorized licensed staff as permitted by state law diagnosis of a UTI in last 30 days,
- Sign or symptom attributed to UTI, which may or may not include but not be limited to: fever, urinary symptoms (e.g., peri-urethral site burning sensation, frequent urination of small amounts), pain or tenderness in flank, confusion or change in mental status, change in character of urine (e.g. pyuria),
- "Significant laboratory findings" (The attending physician should determine the level of significant laboratory findings and whether or not a culture should be obtained), and
- Current medication or treatment for a UTI in the last 30 days.
This new direction to code only if ALL criteria are met is an update in the manual since the first issue of this chapter. This information should be reviewed with all MDS staff, primary physicians and physician staff in addition to nursing staff who document within the medical record.
Harmony Healthcare Presents
AANAC MDS 3.0 Certification Course Boston, MA
August 4 - 6, 2010
Jennifer Pettis RN, RAC-MT a Master Trainer for AANAC is now a member of the Harmony team. She will be presenting the above course in Boston and other locations throughout New England.
MDS 3.0 Intensive Training Course
Harmony University
Topsfield, MA
July 13 - 15, 2010
The SUMMER WEBINAR Series begins July 12th
Wound Managment in the SNF
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Sincerely,
Elisa Bovee
Director of Education and Training
Harmony Healthcare
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