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Lina19's Latest Activity

  1. Lina19

    OBRA Assessment

    Hello, I have a patient who discharged to the hospital on 12/15/20. Patient prior discharged to hospital had a scheduled quarterly assessment due for 1/9/21. However, upon return from hospital on 12/23 we opened a significant change assessment with ARD of 12/29/20. My question is, why is the PCC/Scheduler is still showing that we need to open a QRTLY 1/9/21?
  2. Lina19


    I am looking for ICD 10 code for patient who was admitted to hospital for aspiration pneumonia then to skilled rehab with sepsis.
  3. Lina19

    Morbid Obesity

    I'm looking on guidance for coding of Morbid Obesity and Malnutrition on the MDS. I have had situations where the attending physician has diagnosed the resident with Morbid Obesity or Malnutrition, however when our dietician does their evaluation they do not feel the resident meets the "criteria" for coding Morbid obesity or Malnutrition.
  4. Lina19


    HMO patient admitted on 8/4 discharged to hospital on 8/12, returned 8/14 entry 8/4, 5 day ard 4/10 , DRA ard 8/12 , entry 8/14, 5 day 8/20 & admission 8/20. Also I had to open end of PPS assessment per our facility requirement ARD 8/12 (I just coded the assessment as Non-CMS assessment). I am new with this company and I have never opened end of PPS for HMO patients , I am confused. I thought end of pps and interrupted stay are just for traditional Medicare.
  5. Lina19

    Late Submission

    If entry was submitted late, more than 14 days after A1600, how its going to affect MDS/Nursing? Also if we have only one assessment with dash related to weight(K0200B), is this going to affect payment determination? Thank you.
  6. Lina19

    Indirect Skilled NURSING SERVICES

    Resident admitted s/p fall noted noted with a stage 2 to left lateral foot. Resident is receiving daily dressing change with ointment. I am reading chapter8 and I see we can skill only if its Stage 3. Also for the dressing it has to require aseptic techniques. Would you skill patient under observation and assessment ?
  7. Lina19


    Patient admitted under Private Pay on 08/10 at 15:15 and was discharged on 08/11 at 18:10. I opened an entry and discharge assessment. The only reason I opened them because of overnight stay. If patient was discharged the same day with no overnight stay and less than 24 hrs it would be failure to admit, no assessment or entry needed. Just want to understand all this Private Pay admission. Thank you
  8. Lina19

    Medicare Stay.

    Hello, Patient Medicare Part A admitted on 05/18/2020 at 11:11 and discharged on 05/19/2020 at 12:00 do I need to open the 5 day assessment or just entry and discharge?
  9. Lina19


    Hi MDS team, I have a patient with a quarterly due 5/1. Working on the assessment I found out a patients Covid result came back positive on the same day of ARD 5/1, so I switch my quarterly to Sig Change. However now I have to dash section F.
  10. Lina19

    LTC to SNF

    Hi MDS team. Is it true that any time there was a level of care change, it was considered significant. If a resident previous status was private pay, and when returned from the hospital, was admitted under her Medicare a benefit, which would warrant a significant change/5day assessment
  11. Lina19


    MDS team, The activity department cannot do the activity interview(for a short period), so MDS is taking care of it. I want to help with this crisis time, but still I want to follow CMS rules. Can RN complete section F and can we put the information in after the ARD?
  12. Lina19

    Nursing CMI

    I wanted to open my 5day assessment early, to capture IV fluids given at the hospital for K0510A and I have been told that no need because Nursing CMI is not affected by IV fluids. Talino, please help is there anything form manual or CMS that I can show them. Thanks
  13. Lina19


    can we use CMS waiver of 3 midnight stay if patient wasn't admitted only from the ED , do they have to be admitted?
  14. Lina19

    Fall/New Admission/SCSA

    If you have a new admit who sustained a fall with a fracture on the 2nd week of the admission date, and admission/5day assessment still in process. Would you open a significant change assessment? Usually I would compare with previous assessment to see if I have 2 or more areas of decline, however in this case not only I don't have a previous assessment to compare and also the fall would not be captured on the only assessment I have since it happened outside of the look back period.
  15. Lina19

    SNF PPS Part A Discharge

    Thank you.
  16. Lina19

    SNF PPS Part A Discharge

    Hello, Resident decertify on 3/22 and discharge will be held until 3/25 since can I combine NPE and d/c assessment together although its more than 1 day since last day of cover under part A?. I mean A2000 minus A2400C is more than 1day. Thank you.