Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. federal register /vol. 76, no. 88/friday, may 6, 2011/proposed rules p29mds 3.0 item subsets v1.00.5 for the october 1, 2011 release new codes/item: a0310c - change of therapy o0450 - resumption of...
  2. Excel Spreadsheet to schedule OBRA MDS

    We can't attach Excel docs so I'll show the DIY instead -- Open Excel Highlight cells A1 and B1 >> Right click on the cell >> choose "Format Cells" On Number tab, choose Date, then choose...
  3. Z0400 signatures are on the printed items sets but are not in the data specs and are not submitted to CMS in the submission record; so is the signature in Z0500A. That's why the record wasn't rejected...
  4. Billing Exceptions Report

    'need add'l info - Day 1 of Med A - 00/00/00? What is the latest date entered in O0400 (A6,B6, or C6)? Is the ARD of EOT/60 = 1-3 days after that O0400 date? If the ARD (day 9) is incorrectly...
  5. just to clarify... If your MDS is (1) maintained electronically and readily accessible to staff, surveyors, and/or other authorized agencies, but (2) you do not have the capacity for electronic...
  6. What is the best mds cert to have?

    You have hands-on involvement. You have the desire to learn beyond (a strong point) and your weaknesses are isolated. Why not devote the time reading that chapter of the manual instead? It's the same...
  7. Offered MDS Position

    My inner sense compels me to comment - A new grad your age should be in LTC simply as a prelude to acute care. After a year in acute, you probably wouldn't care what MDS is. And, when CMS goes...
  8. siderail regulation in nursing home

    Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment Potential Zones of Entrapment - p13 (16/49) Dimensional Limits Zone 3 (Between Rails & Mattress) - p17 (20/49) Summary...
  9. MDS and Hospice Team

    one prerequisite of receiving "hospice benefits" is that "the primary physician and the hospice medical director certify that the patient is terminally ill and have 6 months or less to live if the...
  10. MED A DOCUMENTATION

    'in a
  11. Skip Day

    Adjusting the assm't schedule only applies to the next scheduled PPS assm't. For an ongoing assm't, follow what the next paragraph says (same page)- Your ARD, using day 8, is still 4/11. Day 10 is...
  12. Case Mix

    know when the collection period is for cmis for the year. example: collection period ends 7/27/11. all obra assm’ts w/ ard between 4/27 – 7/27 will be included. between 4/27 – 7/27, be a hawk!...
  13. i'm not disputing the ohioans' interpretation. however, this is what the ohio regulation says-- b) for the purpose of assigning a rug iii classification determining medicaid payment rates for nfs,...
  14. Therapy on MDS

    The definition for Walking points to the resident's room and the corridor of his unit. Therefore, capture the activity only if the therapist actually provides treatments in the resident's room or the...
  15. MEDICARE HMO'S

    The RAI, p5-1 does specifically states... HMO Medicares are not reimbursable under the SNF PPS, hence the MDS assm'ts are not transmitted, as andy3k stated. However, there is no need for a separate...
  16. If the resident leaves the facility @ 10 am, you can start completing the MDS @ 10:01 am then sign it when complete, all on the same day. The reason it is recommended to start completion of the MDS...
  17. Yes
  18. section M question

    CAVEAT: Shingles (Herpes zoster) usually resolves in 2-3 weeks and seldom recurs. If it happened 3 years ago, these lesions are likely unrelated to that condition. If at all minutely relevant, they...
  19. section M question

    section m data should be evidence-base. should the previous mds be modified? if the ulcers were captured as pressure ulcers based on the documents available as of the ard, then they are considered...
  20. CAA Summaries

    rai p4-7if info required is addressed in the care plan, simply write "see cp date 00/00/2011". if the info is also addressed in a dietitian's pn or a rehab therapist's eval and treatment plan, point...
  21. MDS 3.0 Certification Difficulty

    The tests are given online from the AANAC website. You are expected to pass 10 courses within a 3-month period upon completion of training (live workshops or online courses). The course materials...
  22. Medicare and leaves of absence

    "The "practical matter" criterion should never be interpreted so strictly that it results in the automatic denial of coverage for patients who have been meeting all of the SNF level of care...
  23. Correct Discharge assessments

    March 1 was last day of all rehab therapies but resident will continue to require skilled service for managing a new onset unstable blood sugar elevation requiring daily blood sugar monitoring with a...
  24. Care plans for short stays

    Since stay is less than 14 days, you don't even need to complete an Adm MDS. An entry record and a discharge is all that's required. Just change the current assm't type to a discharge (combined w/ a...
  25. Forgotten Assessment

    The 5-day would have paid you ‘til day 14. So, I am assuming the resident was still in facility on day 15th and was discharged on day 16th. If this is the case – You can submit a correction then...