susanthomas1954 replied to crazyforthis's topic in MDS
Yes, you can set it any time in the first 14 days. Most people like to use day 8 just in case there is a skilled payor source. OBRA MDS coordinators like to use day 14 because it gives you a better picture for a comprehensive plan of care. Sometim...
I guess my first question is why do you want the job? Administration needs to keep a close relationship with the MDS people because it is closely tied with re-imbursement. If the administrator does not know you well, or consider you to have the ski...
susanthomas1954 replied to crazyforthis's topic in MDS
Just FYI, always do your admission MDS by day 8, because when this happens, you usually have a rehab rug. Even the long term care admits, because you never know who might have missed a payor source on admission. ST
susanthomas1954 replied to CapeCodMermaid's topic in MDS
Nursing school didn't teach me the 4,000 regulations that regulate SNF's and nursing homes. Since my job as an MDS Nurse addresses over 3,000 of these regs, quality indicators and RUG levels for re-imbursement, the new grad needs to be someone who i...
susanthomas1954 replied to idahomdsnurse's topic in MDS
You could offer to go salaried. Don't shoot me, I'm only the messenger. That's too much skilled for one person, much less expecting you to do LTC. The MDS 3.0 increased time by no less than 25% per nurse. You need two full time nurses to do what ...
susanthomas1954 replied to crazyforthis's topic in MDS
Our facility has a great Restorative CNA who was trained to do all our interviews for section C, and the G section for 0300 to the end. Soc svc. does section D and Q, so the only interview I have to do is the pain interview. She does all the schedu...
susanthomas1954 replied to crazyforthis's topic in MDS
You only do a EOT/CoT, etc if the rehab RUG level changes. If your patient has 720 minutes on the 5 day, done on day 8, and only has 719 minutes on day 15, then you gotta do the CoT to reflect that it went from Ultra to Very in that period. You gott...
susanthomas1954 replied to montecarlo64's topic in MDS
Yes, tell me the logic of cutting the MDS staff when we are your only lifeline to payment for Med A patients, and that represents over 30% of your income if you are average. I am hearing the same things around town. ST
Thank you for posting this, missed the open door forum today, but got the notes from a colleague. Completely eliminates the concept of grace days, as far as I'm concerned. What's anybody else think?