glm777

glm777 BSN, RN

MDS Coordinator

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All Content by glm777

  1. fall r/t medical event

    glm777 posted a topic in MDS Coordinator Information

    A resident had a seizure, fell, lost consciousness and received a laceration to his scalp. How would you code this in section J? His fall was related to a medical event - not a trip or loss of...

  2. Section C & D - Interviewable or not?

    glm777 posted a topic in MDS Coordinator Information

    My new SW has been attempting to do section C with almost every resident. She codes "yes" the interview should be conducted unless of course the resident is non verbal or 100% confused and unable to...

  3. Missed an end of PPS MDS

    glm777 posted a topic in MDS Coordinator Information

    I just realized a resident came off of Med A (remained in facility) on 11/10/22 and I never completed the end of PPS stay MDS. Should I do it now and will there be any financial ramifications?...

  4. Totally Dependent For Positioning

    glm777 posted a topic in MDS Coordinator Information

    If a resident can hold onto the 1/4 siderail while being positioned or while being given incontinent care - should we be coding that resident as totally dependent for positioning or as assist since...

  5. PDPM ARD

    glm777 posted a topic in MDS Coordinator Information

    Resident admitted in March with supposedly 100 days of Medicare available. Set ARD for day 8, completed and transmitted the MDS. Resident had 3 MLOAs - upon return for each one - we did a five day on...

  6. DRA dates

    glm777 posted a topic in MDS Coordinator Information

    This new home that I have recently started at does things so differently than what I am used to! Can someone please clarify for me: Resident left facility on 7/26/22 at 11:35PM to go to acute...

  7. Quality measures

    glm777 posted a topic in MDS Coordinator Information

    Can someone tell me what months of the MDS are reflected in the July 2022 quality measures?

  8. CMS form 672 and survey readiness (long)

    glm777 posted a topic in MDS Coordinator Information

    Our program (Matrixcare) automatically populates the form each time we complete an MDS. However we have noticed that certain things didn't seem accurate. For instance, the program kept checking off...

  9. admitted from...2 questions

    glm777 posted a topic in MDS Coordinator Information

    If a resident is coming from the hospital after a 1 day observation stay - never actually admitted to the hospital - do I code he was admitted from the community or from the hospital? Also - a...

  10. coding communication

    glm777 posted a topic in MDS Coordinator Information

    How would y'all code this resident for understands/understood? Sometimes or rarely? Me: good morning Mrs. S Mrs. S : hello Me: did you have breakfast yet? Mrs. S: I should have the...

  11. CAAs and care plans

    glm777 posted a topic in MDS Coordinator Information

    I recently started a new job and the care plans are done 100% by nursing. When reviewing the CPs for my triggered CAAs I noticed they did not have a CP for antipsychotic Med. So I put one in…and was...

  12. CAAs and care plans

    glm777 replied to glm777's topic in MDS Coordinator Information

    Their rationale is that it IS in the care plan. It's just not a separate care plan. I told them that I thought that just having it in one of the other CP - as an approach -didn't justify that we...

  13. COS after MLOA

    glm777 posted a topic in MDS Coordinator Information

    If a resident returns from an MLOA, how long do we have to determine if the resident is a significant change? Example: Resident returns from MLOA 11/21 (12 day hospital stay) Quarterly...

  14. Section I0020 for OBRA only

    glm777 posted a topic in MDS Coordinator Information

    In completing this section for our non skilled residents, do we have to use the most recent admitting dx or the dx that is keeping the resident in the facility? For example, our resident's last...

  15. Interviews when working remotely

    glm777 posted a topic in MDS Coordinator Information

    How are you all handling interviews when working remotely? I am working per diem for several buildings and they have asked that I work remotely to keep potential exposures from affecting several...

  16. Quality measure question

    glm777 posted a topic in MDS Coordinator Information

    Is a decline in ADL SUPPORT (G0110A-G2) considered a level decline for the QMs? Or is it just Self performance?

  17. COS due to coming off of Hospice services

    glm777 posted a topic in MDS Coordinator Information

    Well, this just occurred to me: I know that when a resident disenrolls from hospice services, a COS is required. However the usual rule for COS is that when a COS is noted, you have 14 days to...

  18. Care planning meeting

    glm777 posted a topic in MDS Coordinator Information

    My new facility averages about 20 admission per week. We have care plan meetings only one day a week so all those admissions fall on the same care plan meeting day. I schedule the new adm care...

  19. CNA coding and QMs

    glm777 posted a topic in MDS Coordinator Information

    I need some advice. Since our regional team has been working from home, they are checking every MDS done. They are frequently asking me to change coding for ADLs because it will affect the quality...

  20. need clarification regarding GDR documentation

    glm777 posted a topic in MDS Coordinator Information

    "In N0450B and N0450C, include GDR attempts conducted since the resident was admitted to the facility" Back to original admission date or most recent re-entry date? Also, our pharmacy puts a note in...

  21. need clarification regarding GDR documentation

    glm777 replied to glm777's topic in MDS Coordinator Information

    Another thought: If the resident had a GDR say on 10/31/19, but had a risk vs. benefit note stating a reduction in med was contraindicated on 3/31/19, do you still code "Yes" for

  22. Section N0450B - GDR

    glm777 posted a topic in MDS Coordinator Information

    How do you all interpret this question? Since there is no time frame associated with the question - how far back are you going? I have residents on Antipsychotics who have been here 10 years. Thanks...

  23. hospital observation stay

    glm777 posted a topic in MDS Coordinator Information

    we admitted a resident who spent 4 days in the hospital on an observation stay - never actually admitted. He went to the hospital from home. Should I code him as admitting from community or

  24. ADL coding question

    glm777 posted a topic in MDS Coordinator Information

    Coding in transfers is as follows: supervision - X 4 Limited assist X 2 Extensive assist X 1 Totally dependent X1 Independent x 13 I believe we should code transfers as supervision as that is the only...

  25. Adm MDS completion

    glm777 posted a topic in MDS Coordinator Information

    Can someone please clarify the completion timeframe for an admission assessment if the resident goes out to the hospital with the first 14 days? I have a resident who was admitted then went out to the...