Cecilianurse

Latest Activity

1. Med A Skill

   Cecilianurse replied to Cecilianurse's topic in MDS

   The sacral wound just reduced in size and still present when discharged to hospital. Does this mean she cannot be covered under Med A?

2. Med A Skill

   Cecilianurse posted a topic in MDS

   Experts, I have LTC resident that was skilled for a Stage 4 sacral wound for the her Med A - using all 100 days. Had a 60 day wellness then went out again for dx of UTI with PO/ABT/10days. All within this year. I have her on MED A right now,...

3. Memo from CMS for July 2014

   Cecilianurse replied to Cecilianurse's topic in MDS

   THANK YOU !!!!

4. Memo from CMS for July 2014

   Cecilianurse replied to Cecilianurse's topic in MDS

   CMS is more confusing that ever. I will continue to complete assessments for billing and see how I can contact the MAO or if I can.

5. Memo from CMS for July 2014

   Cecilianurse replied to Cecilianurse's topic in MDS

   If they do not complete the 8 days, I always complete a 5 day without submitting to CMS, so billing can use the RUGS. This will satisfy billing, but with regards to requirements will this do?

6. Memo from CMS for July 2014

   Cecilianurse posted a topic in MDS

   I got this memo from CMS. See below. Does it mean I have to submit 14D, 30D even if they are HMO? Right now I create one, but do not submit. CMS MEMO As noted in the November 4, 2013 HPMS memo, "Encounter Data Submission of HIPPS Codes," the dispos...

7. Sig. Change

   Cecilianurse posted a topic in MDS

   Experts, I have a resident in sub-acute unit, on med A and undergoing chemo on admission 5/7. Now, she has declined significantly extensive to total. Do I have to do a sig. change? Thank you!

8. Insurance plan - What to open?

   Cecilianurse replied to Cecilianurse's topic in MDS

   I will only complete the 5D, 14D, 30D...not transmitting. With regard to the quarterly, there is no need for it. IV was only done in hospital and CHF dx is not new. Thank you!!!!

9. Insurance plan - What to open?

   Cecilianurse posted a topic in MDS

   Experts, I have a long term resident that went out to hospital and his Horizon plan kicked in(dx of CHF, had IV in hosp). Our billers said they need RUGS to get paid. Last assessment of Q2 on 4/18. I am following the PPS schedule, but f...

10. Fracture - Significant Change

    Cecilianurse posted a topic in MDS

    To all EXPERTS, I have a resident that had a fx of the left humerus with a soft cast on 2/11. No changes in ADL despite the fx, she is a 3--2 in most adls. I opened a quarterly on 3/13 and the nurse who completed it, did not add the fx in S...

11. Discharged for one day.

    Cecilianurse posted a topic in MDS

    To all experts, :-) PLEASE HELP! I have a resident on existing MED A then on his 57 day he went to hospital for a scheduled Kyphoplasty of T12 and stayed one night for observation. Last assessment done was a 60D/Q on 2/17 then SX on 2/18...

12. Humerus FX - Sig. Change

    Cecilianurse posted a topic in MDS

    Do I do a significant change for an arm fx with a cast for 6-8 weeks?

13. Is this a Short stay?

    Cecilianurse replied to mds2011's topic in MDS

    Resident was DC to hospital that is why this type of situation occured.

14. Thinking about MDS career

    Cecilianurse replied to MauriceLPN's topic in MDS

    Need an RN license.

15. Resident discharge less than 24 hours.

    Cecilianurse replied to Cecilianurse's topic in MDS

    Thanks, so glad I have someone to ask for info.