M2250d: Depression Interventions on Plan of Care
Posted on March 05, 2010 in Coding Education
by Ann Giles, RN, BSN, HCS-D, COS-C
In my last blog post I discussed some strategies for answering M2250 correctly. I feel as if line item d needs special attention, as it is often scored incorrectly.
The latest set of Q&A's released on January 20 clarifies that "NA" is only appropriate if the patient has NO diagnosis of depression AND the clinician completed an assessment that indicated that the patient has no symptoms of depression. If the patient DOES have a diagnosis of depression, only responses "no" and "yes" are appropriate. If a depression assessment was NOT completed, only responses "no" and "yes" are appropriate. Is it acceptable to have a diagnosis of depression, not be symptomatic and have interventions on the plan of care related to this? Absolutely! Even if your patient does not have a diagnosis of depression (or if he/she does have the diagnosis and is not symptomatic) you can implement depression interventions for monitoring. Again, I cannot emphasize enough the importance of referring to the OASIS manual and OASIS Q&A's for guidance on these OASIS items.
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