Nutrition Weight Dysphagia

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Trace DC48-11

DiraChart Clinical Reference
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1. Purpose and clinical relevance

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10. Audit, denial and survey risks

The domain’s common Part A denial patterns and the F-tag(s) it is surveyed under. The full catalog lives in Denial Patterns.

Risk

Why it fails

Corrected pattern

Weight loss not flagged

Loss occurs without threshold recognition or action.

Calculate against thresholds and escalate a significant loss. (F692.)

Dysphagia not addressed

Signs present without precautions or a swallow eval.

Document signs, precautions, and the swallow referral. (F692.)

Enteral care thin

Feeding logged without tolerance/site.

Document rate, residual, tolerance, and site each shift. (F693.)

Section K unsupported

MDS codes a diet/loss the record doesn’t show.

Align weights/approach in the note with Section K (F641).

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