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Section Navigation Part 13 of 20 1. General Section 2. 6.1 “WNL” alone 3. What changed 4. 6.2 Vague daily-skilled need (the homebound-replacement failure) 5. What changed 6. 6.3 Teaching without mastery 7. What changed 8. Extended recurring patterns (SNF) 9. The daily-skilled gap 10. Cloned / carried-forward note 11. Reference to “baseline” with no value 12. Unquantified outcome 13. MDS not supported by the record 14. Care plan not individualized or not updated 15. Restorative program not documented 16. Open-loop coordination or missed notification 17. Maintenance coverage misframed 18. Restraint / psychotropic documentation gap 19. Notice not issued or not documented 20. Sources and clinical references Previous Next MDS not supported by the record Fails: the MDS codes a diagnosis, a therapy day, a restorative program, or a pressure-injury stage the record does not document — an accuracy deficiency (F641) and a PDPM exposure. Survives: the shift notes carry the exact data the coder used — the restorative minutes, the insulin day, the Section GG usual performance, the wound stage and POA status — so the note and MDS agree. Section Navigation Part 13 of 20 1. General Section 2. 6.1 “WNL” alone 3. What changed 4. 6.2 Vague daily-skilled need (the homebound-replacement failure) 5. What changed 6. 6.3 Teaching without mastery 7. What changed 8. Extended recurring patterns (SNF) 9. The daily-skilled gap 10. Cloned / carried-forward note 11. Reference to “baseline” with no value 12. Unquantified outcome 13. MDS not supported by the record 14. Care plan not individualized or not updated 15. Restorative program not documented 16. Open-loop coordination or missed notification 17. Maintenance coverage misframed 18. Restraint / psychotropic documentation gap 19. Notice not issued or not documented 20. Sources and clinical references Previous Next 