Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Section M - turning and repositioning program

    Talino replied to miccay's topic in MDS Coordinator Information

    ALL of the criteria must be evident. Example: Assessment: *Start w/ a triggered CAA #16, a Braden scale, Norton, etc. Organized/Planned: In your formal care plan and/or CNA's assignment - *Change...

  2. Calculating IV Flow Rate (PIGGYBACK)

    Talino replied to nycNurse2b's topic in Geriatric, LTC

    ...the secondary tubing which is 15 gtts/min. Now, will your teacher come in here and yell at

  3. Calculating IV Flow Rate (PIGGYBACK)

    Talino replied to nycNurse2b's topic in Geriatric, LTC

    Maybe the confusion is not knowing what type of tubing is in use. The longer one has two injection sites. Depending on the tubing size, see the illustration attached. IV

  4. ICF resident returns skilled for short term

    Talino replied to brandnew2mdsrn's topic in MDS Coordinator Information

    If there is evidence of a sig. change do a SCSA. If not, do the Quarterly or the Annual if due. Otherwise, just do a PPS

  5. ICF resident returns skilled for short term

    Talino replied to brandnew2mdsrn's topic in MDS Coordinator Information

    a readm/return is a pps assm't, the same as a 5-day. however, you can only choose one type of code for a pps assm't when resident returns to facility depending on the situation: 5-day - if this is...

  6. tube feeding coding question

    Talino replied to glm777's topic in MDS Coordinator Information

    If not used for the purpose of "nutritional approaches" - NO, as with the IV fluid used for IV meds only; nor the mechanically altered or therapeutic diets if resident was NPO in the 7-day lookback...

  7. Discharge before 5-day assessment

    Talino replied to 217shana's topic in MDS Coordinator Information

    Yes. Regardless therapy hasn't commenced nor were there any skilled nursing service provided, you should prepare a Medicare-required assessment (5-day) as completely as possible and submit the...

  8. ICF resident returns skilled for short term

    Talino replied to brandnew2mdsrn's topic in MDS Coordinator Information

    -yes - code 5-day only since this is the first medicare-required assessment to be completed when the resident is first admitted for snf part a stay. code a readm/return if the resident was already...

  9. NH NC/NP Item sets-Am I doing them the hard way?

    Talino replied to ibtootie's topic in MDS Coordinator Information

    do it the exact same way, except there is no need to print the completed mds after it has been entered in the computer. everyone involved signs/dates the handwritten mds after completion, including...

  10. 2 more assessment/coding questions please

    Talino replied to brandnew2mdsrn's topic in MDS Coordinator Information

    why is resident treated a readmission as non-skilled? this is what cms says... the "practical matter" criterion should never be interpreted so strictly that it results in the automatic denial of...

  11. 2 more assessment/coding questions please

    Talino replied to brandnew2mdsrn's topic in MDS Coordinator Information

    1. assuming no skilled service is required on return, that is correct. a "no sig. change status" determination can be recorded anywhere in the medical record, usually in the nurses' notes. the...

  12. More questions from the newbie... I love you all !!!!

    Talino replied to brandnew2mdsrn's topic in MDS Coordinator Information

    A2400A, code yes ONLY if Medicare A is paying for the skilled service. A skilled service may be provided under Part B, HMO Medicare advantage plans, by a private insurer, or the resident. However, it...

  13. more on glucose monitoring

    Talino replied to debRN0417's topic in Geriatric, LTC

    The findings were not attributed to the type of lancets used alone ... CDC - Blood Glucose Monitoring - Injection

  14. ARD's, care plan dates & information

    Talino replied to rukiddingme's topic in MDS Coordinator Information

    IMO, that is too short a time for OBRA required assm'ts, unless you're only doing one or two or just PPS assm'ts. You have up to 14 days from ARD to complete the annuals and quarterlies. From ARD,...

  15. MDS 3.0 RUGIII to RUGIV Medicare PPS Transition

    Talino posted a topic in MDS Coordinator Information

    If you complete a Medicare PPS assm't with a payment that will overlap from September to October using the MDS 2.0, the RUGIII payment will only be good until September 30th. In order to receive...

  16. Combining assessments question...

    Talino replied to brandnew2mdsrn's topic in MDS Coordinator Information

    Yes, 2 separate assm'ts. Just copy the info from the 5-day and change the

  17. Question on Skilling

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    Medicare Benefit Policy Manual Chapter 8

  18. Short stay assessment?

    Talino replied to aiker31's topic in MDS Coordinator Information

    There are 8 conditions that has to be met in order to qualify as a Short Stay assm't. (RAI, pp 6-12 to 6-13, the algorithm p 6-14). If you believe you've met all 8, your software may not be...

  19. Short stay assessment?

    Talino replied to aiker31's topic in MDS Coordinator Information

    Was it also coded as OMRA Start of Therapy

  20. MDS 3.0 coding question

    Talino replied to glm777's topic in MDS Coordinator Information

    A trigger doesn't necessarily mean a problem. It simply alerts the staff to look into a triggered item whether it presents as an indication of a problem. Rather than stopping at the resident's answer...

  21. MDS 3.0 Discharges

    Talino replied to texasheat's topic in MDS Coordinator Information

    Part B residents do not require a PPS/MDS assm't, including SOT/EOT. For Part A residents, the SOT/EOT can be combined w/ an OBRA assm't (quarterly, annual) as long as the ARD satisfies both...

  22. MDS 3.0 Discharges

    Talino replied to texasheat's topic in MDS Coordinator Information

    mds 2.0's grace day definition has this excerpt... that is now expunged in the mds 3.0, instead... since you can not project therapies (as in section t of the 2.0), use of grace days is the...

  23. MDS 3.0 Discharges

    Talino replied to texasheat's topic in MDS Coordinator Information

    this rule hasn't changed. the mds 3.0 manual, however, does not provide a detailed explanation. see rai obra-required assessment summary, p2-15, under column regulatory requirement. it refers to --...

  24. MDS 3.0 Discharges

    Talino replied to texasheat's topic in MDS Coordinator Information

    1st Adm Entry reporting (Admission) Combine PPS 5-day and DC return anticipated. Use day of discharge as ARD. 2nd Adm Entry reporting (Admission) If dc date is in same ARD window, combine PPS...

  25. MDS 3.0 Discharges

    Talino replied to texasheat's topic in MDS Coordinator Information

    The assm't for planned discharges is great! For unplanned discharges, I can only emphatize w/ everyone's antipathy to the process. A brief discharge assm't that can be completed in less than 15 mins...