Long-Term Care

Capturing preadmission IV medications

PPS Alert for Long-Term Care, November 1, 2009

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IV medications provided during a resident’s acute care stay can be significant sources of revenue for SNFs. As long as IV medications were provided within the 14-day look-back period, they can be coded on the MDS 2.0 and counted toward resource utilization group (RUG) placement, which determines the reimbursement rate for a particular resident.

However, to code these IV medications on the MDS, facilities must get supporting documentation from the acute care provider, which can be quite a challenge for SNFs.

“Capturing IV medications on the MDS is more important than ever because once RUG-IV is implemented in 2010, services provided prior to SNF admission will no longer contribute to a resident’s RUG score and reimbursement rate,” says Maureen McCarthy, president of Celtic Consulting in Goshen, CT. “Until then, it is in our best interest to make sure we are capturing these IV medications on the MDS.”

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to PPS Alert for Long-Term Care.

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