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Isolation
Hello MDS team, Would you code Isolation for Rhinovirus under section O, Isolate/quarantine? Thank you
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Significant change assessment
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.
- ICD10
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ICD10
What is ICD10 code for the Pt who underwent a left hip intramedullary nailing for L intertrochanteric femur fracture?
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Diagnosis Sheet/Covid
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!
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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?
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ICD10
I am looking for ICD 10 code for patient who was admitted to hospital for aspiration pneumonia then to skilled rehab with sepsis.
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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.
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HMO PART A - UNITED HEALTHCARE
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.
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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.
- PRIVATE PAY
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PRIVATE PAY
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
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Dashing
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.
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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
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Nursing CMI
Thank you for taking the time and sharing.