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Search Results Type: Posts; User: Talino

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  1. Private Pay
    Chapter 6 Medicare Claims Processing Manual This allows CMS to keep track of the beneficiary’s benefit period. Ask your billing department to check the Common Working File (CWF) to determine if the...
    Jul 23
    Forum: MDS Coordinator Information
  2. Chest tube
    As long as the daily documentation supports the skilled care, absolutely.
    Jul 18
    Forum: MDS Coordinator Information
  3. ADL code if there is a 24 hr private aide
    RAI, G5
    Jul 16
    Forum: MDS Coordinator Information
  4. Missed Admission assessment.
    Combine the Adm with the 14D, complete and sign TODAY. You will still get a warning.
    Jul 16
    Forum: MDS Coordinator Information
  5. Albumin infusion
    IV med
    Jul 8
    Forum: MDS Coordinator Information
  6. help!!! pps assessment
    Like you said, interviews must be done on or before the ARD. “Late interview” is extraneous and should not be entered in the MDS. If missed, simply skip the interview and perform the staff...
    Jul 8
    Forum: MDS Coordinator Information
  7. Peg Tubes
    If the change does not affect any other functions, not necessarily so. You will have 14 days to observe.
    Jul 7
    Forum: MDS Coordinator Information
  8. SOT or not?
    SOT is optional used only to classify a resident in a Rehab RUG category. If it's not, the MDS will be rejected.
    Jul 2
    Forum: MDS Coordinator Information
  9. Can we convert to Medicare A?
    The 30-day rule does not apply. It is simply a continuation of skilled care from the original 3-day hospital stay, but by July 1st, traditional Med A is now the primary payer. Deduct the total number...
    Jun 29
    Forum: MDS Coordinator Information
  10. help!!! pps assessment
    The RAI does not stipulate that a change in level of care, except hospice, warrants SCSA. Every individual is unique. Some may respond to a current treatment quick and some will linger on and even...
    Jun 25
    Forum: MDS Coordinator Information
  11. Combine readmission and DC
    Since it's already Wednesday, you must have figured it out.
    Jun 25
    Forum: MDS Coordinator Information
  12. help!!! pps assessment
    The comprehensive (Sig. Change) MDS is only required if the criteria for sig. change is met, regardless of payer. The IDT will have 14 days to determine that. The resident may revert to his usual...
    Jun 25
    Forum: MDS Coordinator Information
  13. Sig. Change
    Just to clarify According to the guideline ... The 3rd bullet would suggest the decline applies ONLY if the ADL was previously coded 0, 1, or 2 and now coded 3, 4, or 8 However, this one...
    Jun 19
    Forum: MDS Coordinator Information
  14. Seatbelt
    You mean if it's considered a restraint, right? Ask the resident to release the belt. If she can and at will, then not necessarily. However, considering the resident's mental status, the staff...
    Jun 19
    Forum: MDS Coordinator Information
  15. LPN's Role in MDS 3.0 in Ohio
    Ohio Board of Nursing - Law and Rules The LPN may enter the location and date of the CAA. The LPN can "contribute" but cannot initiate a care plan.
    Jun 15
    Forum: MDS Coordinator Information
  16. Insurance plan - What to open?
    That's perfectly fine. But is there a need to do Q3 one month so soon? Otherwise - 5D, 14D, 3Q (30D).
    Jun 11
    Forum: MDS Coordinator Information
  17. Fracture - Significant Change
    Same scenario applies
    Jun 4
    Forum: MDS Coordinator Information
  18. Updating Care Plans re: DTI
    Good clinical practice would suggest whenever there is a change it should be documented. The care plan may continue with the same goal or intervention, but there must be documentation that a...
    May 31
    Forum: MDS Coordinator Information
  19. help!!! pps assessment
    You cannot bill for the day of DC but you can bill for the day of adm.
    May 22
    Forum: MDS Coordinator Information
  20. help!!! pps assessment
    Indeed, hi ho Silver!
    May 22
    Forum: MDS Coordinator Information
  21. Psychotic disorders
    http://www.webmd.com/schizophrenia/guide/mental-health-psychotic-disorders http://www.psychguides.com/guides/psychotic-disorders/
    May 20
    Forum: MDS Coordinator Information
  22. Psychotic disorders
    These are the common types. However, a psychiatrist's diagnosis must be present to code it.
    May 20
    Forum: MDS Coordinator Information
  23. How to code this wound?
    Was it a St IV on the last assm't? "resolved" seems to refer that it is not a St IV anymore and "with a defect" suggests it is not healed but of a lesser stage. However, it's a very vague description...
    May 14
    Forum: MDS Coordinator Information
  24. ARD dates with MCR Advantage Plans
    This solely depends on the MA plan. 'though some may require a RUG score to pay, majority demands clinical documentation only. If a plan does require a RUG score, I strongly doubt they adhere to the...
    May 8
    Forum: MDS Coordinator Information
  25. Can I bill the patient?
    If you failed to issue the SNFABN you will be liable. Advance Beneficiary Notice of Noncoverage (ABN) p13. Issue a non-coverage beginning 2 days from today. 'though late, you release yourself the...
    May 8
    Forum: MDS Coordinator Information


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