ibtootie

ibtootie

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About ibtootie

Latest Activity

  1. ADLs

    First I just need to blow my stack that no matter how much I instruct and educate the Unit Assistants on ADL documentation, they still either don't get it or don't care to get it. No matter how much I complain to the Nursing Director about it, eithe...
  2. CNA ADL training

    At my facility I do an orientation with the CNA's and participate in the Daily Huddles to pass along tips and pointers for accurate documentation. The SNF CNA's are for the most part accurate in their documentation. My problem, however, is that we ...
  3. Generally, the day of discharge, death, or a day on which a patient begins a leave of absence, is not counted as a utilization day. (See the Medicare Benefit Policy Manual, Chapter 3, "Duration of Covered Inpatient Services.") This is true even where...
  4. HELP! Lost OBRA assessment

    In May of this year my computer was exposed to a freak power surge that crashed all of my data drives, causing me to completely lose everything pertaining to jRAVEN, (the system we use) along with any and every document I ever saved. Our facility ...
  5. Not OBRA after all

    Resident admitted 2/13 for wound care for an ORIF wound infection and IV antibiotics. Injury was presented as work related even though the resident has MCR, and the claims adjuster preauth'd his SNF stay. I went ahead and set day 8 (2/20) for ARD. ...
  6. Eot during first 14 days

    Resident admitted on 1/3/13 and 5 day ARD set for 2/7/13 (Day 8). The doctor put resident on 3 days of bedrest 2/5, 2/6, and 2/7 (days 7, 8, & 9) and therapy resumed 2/8 (day 10). Does an EOT need to be done if the break occurs in the first 14 ...
  7. managed care and the mds

    So if I understand this correctly A0410 pertains to the certified beds, and not the payor? All of my beds are Medicare beds, no Medicaid beds, so I should be answering A0410=3 regardless of the payor for the NC eval? I'm in Texas.
  8. Need help on a 9 month old issue!

    I need some help on this one since it is just found 9 months after the resident admitted and discharged. Mr. X admitted to our facility 3/20/12 for IV antibiotics for a post-op wound infection. On 3/26/12 he was sent back to the hospital for increa...
  9. How Many MDS Assessments Per Month

    I'm curious to know how many PPS MDS evals (all combined) everyone else submits per month. I'm trying to figure out if I am on track, or if I need to speed up. I am at a hospital based SNF -not swing bed, with 20 Medicare beds with an average lengt...
  10. how do I change an MDS assessments for Insurance?

    Can you set the ARD date for OBRA NC assessments before day 14? For some reason I thought the ARD date was set at day 14 unless the resident discharged prior to day 14.
  11. can my DON force me to work the floor?

    Does Safe Harbor apply to SNF's?
  12. MDS Software Compare

    That's my main complaint too. It would be great to be able to make changes without deleting everything and starting over. I thought that the changes could be made when the program first came out, but the upgrades along the way got rid of that featur...
  13. MDS Software Compare

    My facility currently uses jRAVEN. When I started they were using RAVEN, so I have never had any other software to compare it to. I'd like to hear from others who have used jRAVEN and how it compares to the other programs out there.
  14. RUG for a 36 hr stay

    Resident admits from acute care on 11/5 and transferred back to acute care within 36 hrs. I completed NT and ND with A0310F=11-DC with return anticipated. She returned from acute care back to SNF on 11/19. I entered A1700-2=Reentry and submitted ...
  15. ADL coding examples

    I have started doing inservices and have reoriented each CNA at least three times, but still find the same errors over and over from the older CNA's. I haven't found any material to cite specific examples, so I used real past patient scenarios (with...