MDS Coordinators/ RN or LPN Assessment Coordinators

2longasn · May 12, 2007

In my definition - the MDS is a total look at the resident - head to toe, inside and out, strengths and weaknesses. Generates the reimbursement for Medicare residents, helps to design the care plan for all residents - a tool to make one really look at the resident - I've had some real "ah HA!" moments when doing some MDS', kinda makes you use your critical thinking skills more. Just my 2 cents worth.....

And his where abouts on the grid. it captures his admission, discharges, falls, chage in status, change in meds, new diagnoses, how good or bad the facility is taking care of this resident. and communicates to the surveyors where the facility's strengths and weaknesses are and .........:smackingf

2longasn · May 12, 2007

Thanks Talino this is the best advice ever. I was concerned about my poor pay, but decided to stay. When I took over this position the late transmissions were at 25% and now it is @ 11.34 % less than a year a later. There are also improvements noted in scheduling of the MDS assessments. What a mess I inherited. I'm thankful for the experience. I read your thread on one of those " this is not for me days". I'm thankful I did not leave and know that I played a sizable part in the overall improvement of the MDS process in my facility. This will be beneficial at evaluation time. Thanks

2longasn · May 12, 2007

Love This. Thanks

Nascar nurse, ASN, RN · May 13, 2007

When I took over this position the late transmissions were at 25% and now it is @ 11.34 % less than a year a later. There are also improvements noted in scheduling of the MDS assessments.

Wow! This would be TOTALLY unacceptable in my facility. It is an absolute expectation that there be no late assessments ever w/ no excuses. How late are they? Aren't you getting default rates for all the days you are late? What are your scheduling issues? Maybe one of us could help with this.

2longasn · May 13, 2007

Wow! This would be TOTALLY unacceptable in my facility. It is an absolute expectation that there be no late assessments ever w/ no excuses. How late are they? Aren't you getting default rates for all the days you are late? What are your scheduling issues? Maybe one of us could help with this.

THANKS FOR YOUR REPLY. SINCE I'VE BEEN IN THIS POSITION VERY FEW ARE ARE MORE THAN THAN 30 DAYS LATE. ACTUALLY RUG SCORES ARE IMPROVED DUE THE CAPTURING OF MORE EXTENSIVE SERVICES AND IMPROVED SUBMISSION DATES:idea: . THE SCHEDULING ISSUE WAS READMITT, PPS ASSESSMENTS WERE BEING TRANSMITTED IN LIEU OF OBRA ASSESSMENTS. WHAT A MESS!!!!

NOW THAT THE STATE IS PENALIZING FOR LATE TRANSMISSIONS AT 19% OR MORE AN IMPROVEMENT IN THIS FACILITY'S PROCESS WAS NEEDED.

I APPLAUD YOU AT YOUR FACILITY WITH NO LATES AT ALL. THIS IS MY GOAL. IF I REMAIN IN THIS POSITION IT WILL BECOME REALITY.

ALL IN ALL A PRETTY GOOD YEAR. I KNEW ABOUT THE MDS AS FAR AS CAREPLANNIN/RAPS/AND CODING. BUT HAD LITTLE KNOWLEGE OF WHAT MDS COORD. WERE RESPONSIBLE FOR.:smackingf I TRULY ENJOY THIS SITE AND HAVE GOTTEN A FEW GOOD TIPS FROM THE POSTS. AGAIN THX FOR YOUR REPLY. BEING A LITTLE ANAL AND A LITTLE PARANOID ARE TRAITS THAT ARE DEFINITELY SUITED FOR THIS POSITION.

Rizpah · May 13, 2007

2longasn - If you want to, PM me your email and I will try to send you the tracking tools I use at my facility. We have "maybe" 2 late assessments a year and that usually happens when we are training someone new into the MDS process and they don't understand the issue of which dates have to be used. I am the one in our facility who is responsible to do the scheduling of the MDS' and this system has worked for me for almost 10 years.

JPR12 · Jun 26, 2007

We used a private company www.harmony-healthcare.com

that does medicare, Medicaid and rehabilitation consulting and not only did they do training at our facility but also onsite training and have revenue enhancement programs that increased average facilities Part A and case mix revenue by over $30k per month.

RNBLUV · Jul 8, 2007

Hello there! I'm new to both this forum and my position of MDS Coordinator. I noted you have tracking forms. I am seeking any assistance available as I embark on a new journey in my life. If you would be willing to share any helpful hints/tips I would be most appreciative. Thanks!!!!

nursy711 · Aug 27, 2007

I have a Quarterly question.. I know the R2B has to be at least Q92 days, but what is the earliest you can set the ARD? I cant seem to find the answer to that question in the Manual.

2longasn · Aug 27, 2007

I have a Quarterly question.. I know the R2B has to be at least Q92 days, but what is the earliest you can set the ARD? I cant seem to find the answer to that question in the Manual.

I have not seen rules about how early quarterlies can be transmitted. I usually try not to schedule more than 7 days prior to the previous r2b or vb4 dates, to accomodate holidays and weekends. Otherwise you run the risk of ruining your schedule and there are only 2 things that are allowed to reek havoc on my schedule 1. a significant change and 2. an ard change for a more accurate rug.

flashpoint · Sep 9, 2007

I try to submit all of my quarterly and annual assessments on the first allowable day. It doesn't always work because the first day falls on a weekend or a holiday or there is a computer glitch or something, but more often than not, they go in as soon as they can. The 5, 14, and 30 day assessments are the only ones I will use grace days for...there can be a huge difference in reimbursement if you submit a 5 day on day 8 because of the extra therapy days you can pick up...on the other hand you can get good reimbursement if you submit a 5 day on day 3 if you are able to capture an IV from acute care.

I was going to take the AANAC class in October but my corporate supervisor wants me to wait until I have a few months under my belt...:)

CITCAT · Dec 16, 2007

iam interested inlearning how to do MDS in Ltc in michigan can anyone give me a website or book thank you