Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Quality Measures

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    MDS 3.0 Quality Measures USER'S MANUAL p31 or

  2. CMS Regulations about NPs signing orders

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    when you say "okay", does the np do the initial physical exam and write the admission orders or simply rewrite the "physician's orders" as per facility's policy? as i previously pointed out in this...

  3. CMS Regulations about NPs signing orders

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    http://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/som107ap_pp_guidelines_ltcf.pdf physician services pp 505-511 i am uncertain what "verify" entails. however, the initial...

  4. MDS care plan meetings

    Talino replied to jenrain's topic in MDS Coordinator Information

    there is no specified timeframe. time spent interviewing a resident or a family member during an initial evaluation by individual disciplines regarding his/her strengths and weaknesses either by...

  5. MDS care plan meetings

    Talino replied to jenrain's topic in MDS Coordinator Information

    Care conference among the IDCP team or w/ resident or

  6. Skill or not to skill!?

    Talino replied to TigerxLiLy's topic in MDS Coordinator Information

    I suggest you have the biller call your FI's IVR and find out when the last claim for skilled service was made and for how many days. Technically there were two skillable services after the resident...

  7. Inactivation

    Talino replied to sls73's topic in MDS Coordinator Information

    The ARD can be set and/or adjusted at any time as long as you're within the permitted ARD window. Hence, when you come in on Monday, you can set the ARD on the day or before DC or death. In instances...

  8. Inactivation

    Talino replied to sls73's topic in MDS Coordinator Information

    If it is, you wouldn't want to go through that turmoil. However, in your scenario, you are completing a 5 day with a new ARD that is way outside the window. Combined or not, you will still get paid...

  9. To do or Not to do the MDS - that is the questions

    Talino replied to grace2nurse's topic in MDS Coordinator Information

    A change in level of care (when resident is discharged from all Part A services) does not require an MDS. The beneficiary receives a formal notification 2 days before Part A is discontinued. An SCSA...

  10. Inactivation

    Talino replied to sls73's topic in MDS Coordinator Information

    If the discharge was “return anticipated” the assm’t submitted was indeed incorrect. Ironically, even though the 5-day was correct, the combined Admission cannot be inactivated separately....

  11. Blood filled blister

    Talino replied to iheartangelinajolie's topic in MDS Coordinator Information

    rai m-8, planning of care, bullet #2 if that still doesn't apply, ask md if it's vascular in nature.the rai does not specify that all blisters be coded a stage ii, instead -- "may also present as...

  12. Scenario

    Talino replied to TigerxLiLy's topic in MDS Coordinator Information

    There are probably several modalities a therapist can tailor to suit the resident's stamina. A 30-minute rx can be spread throughout the day. Therapy provided 3X/week totalling 45 mins plus 2 daily...

  13. MDS Interview

    Talino replied to iheartangelinajolie's topic in MDS Coordinator Information

    Combine the 5-day and DC. Like Maga63 mentioned, if the DC is unplanned, you need not complete the resident interview portions. When an interview is required yet not obtained, you can dash-fill the...

  14. Stage 1 pressure ulcers

    Talino replied to iheartangelinajolie's topic in MDS Coordinator Information

    rai, pm-8 m0300a: number of stage 1 pressure ulcers (cont.) coding tips * if a resident had a pressure ulcer on the last assessment and it is now healed, complete healed pressure ulcers item...

  15. Hospice vs Medicare?

    Talino replied to Maga63's topic in MDS Coordinator Information

    The election of hospice can be revoked at any time. The resident can then access Medicare SNF benefits. see page 7 https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads//bp102c09.pdf...

  16. Hospice vs Medicare?

    Talino replied to Maga63's topic in MDS Coordinator Information

    the condition for which a skilled service is provided must be unrelated to the condition for which the resident receives hospice care. example: while receiving hospice care for cancer, the resident...

  17. how do I change an MDS assessments for Insurance?

    Talino replied to crazyforthis's topic in MDS Coordinator Information

    Just make sure the ARD of that Adm MDS is within day 1-8 in order to bill the actual RUG category which will be paid to you from adm up to the day before d/c. If the ARD is day 9 or after, you can...

  18. how do I change an MDS assessments for Insurance?

    Talino replied to crazyforthis's topic in MDS Coordinator Information

    You cannot modify nor should you inactivate and combine a 5-day to the OBRA Admission. Granting you performed an OBRA Admission MDS you may be able to bill for the entire stay. See MISSED ASSESSMENTS...

  19. Regs for being seen by MD within 48 hours of admission

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    state operations manual - appendix pp conditions met, the physician's initial visit in the facility can occur any day during the first 30

  20. ADL'S and MDS

    Talino replied to AlleeBooRN's topic in MDS Coordinator Information

    Independent transfers in 7 days = 7 Independent pulling pants up in 7 days = 7 Total dependence cleansing = 7 Number of times Independent = 14 Number of times Total Dependence = 7 Instructions for...

  21. ADL'S and MDS

    Talino replied to AlleeBooRN's topic in MDS Coordinator Information

    Toileting encompasses multiple tasks to complete the activity from start to end. In your case - transfers, cleansing, and adjusts clothes. In order to code Toileting as independent, resident must...

  22. Billing and MDS 3.0

    Talino replied to sls73's topic in MDS Coordinator Information

    Why can't the biller bill what's completed and bill the yet uncompleted assm'ts on the next billing cycle? An astute move to maximize reimbursement does no disservice to the facility but simply...

  23. RUG for a 36 hr stay

    Talino replied to ibtootie's topic in MDS Coordinator Information

    If Med A was the primary payor (or HMO who requires an MDS assm't to pay), a PPS 5-day would have been required to bill for the one day stay (24 hrs). You would have combined the DC tracking and...

  24. Assessment help please

    Talino replied to crazyforthis's topic in MDS Coordinator Information

    Maybe a tiny one Andy... The Sig. Change ARD can be set "up to 14 calendar days after determination that significant change in resident's status occurred (determination date + 14 calendar days)" RAI...

  25. Vital signs

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    there is no specific guideline. the purpose of documentation is to prove to the medicare contractor that a skilled need is present and a skilled service provided. although daily documentation is...