Ask the Experts, MDS 3.0 Items, Payment/economy

When can a toileting program get billed under restorative?

Q: If a patient is on a toileting program that is designed to meet their needs, can it be billed under restorative?

Diane: A toileting program that meets the requirements of restorative nursing care under Section O, Special Treatments and Procedures and the urinary toileting program under Section H, Bladder and Bowel of the MDS 3.0 then it can be billed under restorative.  (Source: The Resident Assessment User’s Manual Version 3.0 pages H-3, H-4, H-5, and O-23.) 

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