Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Geriatric Nurses and LTC Nursing /

Medicare charting newbie, need info



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,625 members! Join today to network with other nurses, laugh, share, and much more.

Jan 28, 2009 12:10 PM

Medicare charting newbie, need info

by StudentNurseForever Platinum Member

I am new to LTC and really starting to it! However, I have the medicare hall, and I am wanting to make sure I'm hitting all the bases. We have a checklist type thing on the front with all of the info from the assessment, vitals for each shift at the top, and the res. ability to perform ADLs that we grade with numbers. All of these criteria for day, evening, and night, and then on the back we write a narrative. The back is split into three boxes as well, for day, evening and night. However, I have had no education on medicare. The training I've gotten from the facility is to chart on their diagnosis and their ability to perform adls. I would really like more information. Could anyone suggest any websites or books, anything really, that would clearly explain to me what needs to get posted so that we are properly reimbursed? (and, of course, so I don't look like a moron?) TIA!!


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
4 Comments
No. 1
Old Jan 28, 2009, 12:29 PM

Default Re: Medicare charting newbie, need info
Oh, and I'm in TX, if that helps
Top
 
No. 2
Old Jan 28, 2009, 12:47 PM

Default Re: Medicare charting newbie, need info
I am also in Tx and work on a skilled unit in LTC. The main thing they are looking for is HOW the resident participates in ADLs. Min. or Max assist. 1 or 2 person. Do they bear wt? Do the wash themselves?

ie: res is A&O X3 able to make needs known. Up in wheelchair to DR for meal. Able to feed self but requires set-up of tray. transfered to toilet with walker and one person assist for balance. Needs assist to adjust clothing. Wears incontinent pads d/t occ. episodes of bladder inc. Shower done this evening with assist of one. Able to wash face, and front of body. Unable to wash lower body.
Hope this helps.
Top
 
No. 3
from BEDPAN76
Old Jan 28, 2009, 04:52 PM

Default Re: Medicare charting newbie, need info
Hey student, you have posted a very good question and it seems like you are on the right track. Find out who the MDS coordinator is. Stay a few minutes and "pick her brain". You will find out alot and have a GREAT resource person! I do MDS and love to give tips and suggestions as it makes my job alot easier when I read your notes. When I have to enter the data in the computer for medicare reimbursement, it makes my job soooo much easier if you have included such things as: Do they talk? Are they continent? Do they c/o pain?
Top
 
No. 4
from Rascal1
Old Jan 28, 2009, 07:57 PM

Default Re: Medicare charting newbie, need info
Great question ! ADL's are real important and chart the skilled observations pertaining to the specific dx's/reasons they are on Med. A. Also, are they going to PT/ OT. ? Did they tolerate it okay ?
Top
 
Reply




Thread Tools


Who's Online
391 members
2,859 guests
3,250

24

lawsuit - But don't most RN's work through breaks/lunch...

0

Patient Evaluation of Retail Clinic Care

2

The hard to reach on-call doctor, and its effects on...

8

Woman charged with passing off prescription drug as...

19

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

13

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

13

Really interesting article on Indian open hearts

11

High-Tech Pump Does What Her Heart Can't



41

Dear preceptor

1

Society Needs Care Too

13

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

39

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude





Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: