Liza22

Hello MDS team, Would you code Isolation for Rhinovirus under section O, Isolate/quarantine? Thank you

Working on MDS/QTRLY ard 2/15, noted res with a new pressure ulcer stage 3, res has already 2 other area with PU stage 3. do I need to change my MDS assess to a significant change, I hate dashing my F section.

What is ICD10 code for the Pt who underwent a left hip intramedullary nailing for L intertrochanteric femur fracture?

Thank you.

We have been told , that we need to create a diagnosis sheet for every assessment we open for Covid+ patients and use U07.1 as primary diagnosis. except IPA we don't need a new diagnosis sheet!???I am confused!

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 ...

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

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 the...

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 ...

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.

Thank you.

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 ...

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.

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 warran...

Thank you for taking the time and sharing.

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 s...

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 ...

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

Thank you.

No, I don't think so. Talino, I have a question regarding Primary diagnosis/PDPM. If you have patient admitted from SNF after recent hospitalization for sepsis/uti/aspiration pneumonia and completed antibiotics at the hospital. Would you code for pne...

Resident had a QRTLY assessment due 3/15, and was DRA on 3/5 and came back 3/12 should I keep the ARD for QRTLY as 3/15 ? I would end up with look back period of only 4 days.

Hi Talino the same patient came back from hospital under hospice so I opened significant assessment. However BIMS interview was not completed many time we attempted to interview the patient but each time patient was asleep so CO500 should be coded 99...

Thank you so much Talino.

I really appreciate all your advices, and I am very familiar with Talino and I agree he is always a big help with MDS questions.

I am an MDS RN/coordinator, and I have an interview coming soon for a new position as an MDS in another facility with 80 beds. I am concerned since I am going to be by myself, I have been told they are not going to provide any training since I have b...