Process
Documentation of ADLs within the triage assessment, at minimum, what is required?
What is evaluation of the 6 main areas of ADLs that are starred in the question:
i. Bathing
ii. Bowel/Bladder
iii. Dressing/Personal Grooming
iv. Swallowing/Eating/Nutrition
v. Walking/Transferring
vi. Using the Toilet
When branching questions pertaining to ADLs are selected, such as, "need identified", what must the CM clearly document?
What is the CM must clearly document the needs and adequately address all the areas of deficit/concern with the specific ADL.
If the CM Triage assessment is initiated, then the member is admitted to an inpatient facility, and remains inpatient for 30 days, what should the CM do?
What is the CM will:
i. Answer any required questions that are unanswered selecting the answer option of “Unwilling or unable to answer or continue”
ii. Answer question 10 “Will you be treating as High risk/Complex? “ as “Unwilling or unable to answer or continue"
iii. Document in the green note pad or SOE note that CM Triage assessment completed as unable to answer and complete the assessment due to member is inpatient.
iv. Initiate a new CM Triage Assessment upon discharge and successful contact. This should be started as soon as possible but no later than 30 days post discharge.