Assessing For Malnutrition 
       and the Risk for Malnutrition
       Presented by: SHC Clinical Reimbursement
    Objectives
    • Review the RAI Coding Guidelines for coding Malnutrition 
     and Risk for Malnutrition
    • Educate on the new Nestle Mini Nutrition Assessment
    • Discuss the process for completing the Nestle MNA
      RAI Coding Guidelines 
      MDS 3.0 RAI Manual v1.17.1 pgs. I-7I-8
         RAI Coding Guidelines
         Identify diagnoses:              Determine whether diagnoses 
                                          are active:
         • The disease conditions in      • Once a diagnosis is identified, it 
           this section require a           must be determined if the 
           physician-documented             diagnosis is active. 
           diagnosis (or by a nurse       • Active diagnoses are diagnoses 
           practitioner, physician          that have a direct relationship to 
           assistant, or clinical nurse     the resident’s current functional, 
           specialist if allowable under    cognitive, or mood or behavior 
           state licensure laws) in the     status, medical treatments, 
           last 60 days.                    nursing monitoring, or risk of 
                                            death during the 7-day look-
                                            back period.