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Question 7 of 9: In order to capture IV fluids for hydration, do we need documentation supporting reason is for hydration/nutrition, or can we assume IV fluids are delivered for this purpose?
Harmony Healthcare International (HHI) recommends reviewing the hospital documentation including the MAR prior to establishing the ARD for the 5-day assessment so that all resident complexities are included.
IV fluids coded in Section K0510A1 or Section K0510A2 are conditions that meet the Special Care High nursing component. The medical record should support hydration or nutritional benefit for the additional fluids. Any and all nutrition and hydration received in the last 7 days given at the hospital as an outpatient or an inpatient, provided they were administered for nutrition or hydration, can be coded in Section K0510A1. Be aware of the specific IV Fluids in the RAI User’s Manual that are not included i.e., IV fluids administered routinely during an operative procedure.
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