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Test Your Knowledge Answers:

1) A blood culture is not needed to show a microbial process. An indication of an infection would show a microbial process. 

2) If the prior comprehensive MDS had a significant clinical error related to MDS coding, first document when you identified the error and what the error was. Second, modify the original comprehensive MDS to make it correct and resubmit. Third create an entirely new MDS with an ARD no earlier than the day the error was identified (could have an ARD after that date so the interviews and GG can be done but must be completed within 14 days of the determination of the clinical coding error).  It is an entirely new comprehensive MDS with an ARD now. Everything needs to be assessed using this new ARD as the endpoint of the assessment window. GG and Resident interviews need to be done on or before the ARD during the 7-day look-back. The item in error on the prior MDS may have a different response on this present MDS. 

3) The system will not allow you to modify an MDS with an ARD more than 2 years from now. You cannot modify any MDS more than 2 years old. 

4)  The item would be dashed as none of the options apply.