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.

Thank you.

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

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 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?

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 they do not feel the resident meets the "criteria" for coding Morbid obesity or Malnutrition.

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.

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 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

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 warrant a significant change/5day assessment

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 show them. Thanks

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 pneumonia as primary diagnosis ?

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.

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 right?

Thank you so much Talino.

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.

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 been working as an MDS coordinator for over 5 years. I love the facility, however I've always worked under a good mentor. What questions should I ask before taking this position?