Q: For patients receiving emergent care for altered mental status of unknown cause, what is the correct response for M2310? A: M2310, Reason for Emergent Care, reports the reason the patient sought emergent care. Without having a complete picture of the patient’s condition, response 17 – Acute mental/behavioral health problem may be an acceptable response.
Continue reading...Thu, Feb 24, 2011
Q: For (M1730) Depression Screening, for what situation would a response of “NA” be used as opposed to a response of “0″? A: For (M1730) Depression Screening, a response of “NA” to the PHQ-2 scale would be used in patients who are unable to respond to the assessment, as in patients who are unresponsive. A [...]
Continue reading...Wed, Aug 18, 2010
Q: If the answer to the depression screening, M1730 is positive and the agency does not have psychiatric services, besides notification to the MD and a referral for MSW, what process should be in place for follow up? Should there be additional screening tools used such as the PHQ-9? Is it the nurse or the [...]
Continue reading...Thu, Jul 22, 2010
Q: In reference to M2250, if the patient has an antidepressant medication on the medication profile, but no symptoms per the standardized tool, can the clinician choose “No”? A: M2250, Plan of Care Synopsis reports whether the physician-ordered plan of care includes depression interventions (including medications). The presence of an existing antidepressant medication is considered [...]
Continue reading...Tue, Jul 13, 2010
Guidelines for Clinicians OASIS-C has several new items to measure processes of care. Care processes refer to the use of assessment tools (included in a comprehensive assessment) or the planning and delivery of specific clinical interventions. The question we are discussing here is M1730, which relates to screening for depression. This OASIS-C question is designed [...]
Continue reading...Sun, Jun 20, 2010
Q: What is the score in which a patient can be considered depressed and what should be done if the patient attains such a score? A: If a homecare agency chooses to use the PHQ-2 scale for level-one screening of depression, a response is selected for each row and the points added together. If the [...]
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Mon, May 9, 2011
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