Long-Term Care

Navigate restorative nursing regulations and coding criteria

PPS Alert for Long-Term Care, January 1, 2010

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The long-term care industry is steadily adopting a resident-centered model of care, and restorative nursing is a critical component to successfully individualizing ¬services. Unfortunately, many facilities are hesitant to provide or code the MDS for restorative nursing programs due to misconceptions regarding coverage and coding requirements.

“There is a perception that the requirements for restorative nursing are difficult to achieve, so rather than spend the time and effort trying to meet them, many facilities don’t bother providing restorative care, or they provide it and just don’t code for it,” says Cheryl Field, MSN, RN, CRRN, senior healthcare specialist at Point Right, Inc., in Lexington, MA. “Some facilities may not even realize that the service they are providing could be counted as a restorative nursing program.”

The first step in establishing a successful restorative nursing program is to have a complete understanding of the requirements and coding criteria.

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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