Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. How to print Medicare Payment

    Talino replied to lionjr's topic in MDS Coordinator Information

    Your financial officer should have the current rates. Heres a ballpark rate. Enter your

  2. How to print Medicare Payment

    Talino replied to lionjr's topic in MDS Coordinator Information

    'am not really certain what you are asking so I am just assuming. The biller usually requires a validation report of a RUG score of an MDS/PPS assm't in order to bill Medicare appropriately. A...

  3. at what point can you NOT do an assessment?

    Talino replied to crissrn27's topic in MDS Coordinator Information

    Don't forget Monday was a holiday and there was a snow emergency on Tuesday. Oh, weren't you sick on Wednesday? Since the assm't window for a 5-day is day 1-8, you are permitted to create a 5-day and...

  4. at what point can you NOT do an assessment?

    Talino replied to crissrn27's topic in MDS Coordinator Information

    Cris - It would not be appropriate to set an ARD if the window allowed had already passed. You may complete a late assessment w/ today's ARD and bill at default if the resident is still in facility....

  5. at what point can you NOT do an assessment?

    Talino replied to crissrn27's topic in MDS Coordinator Information

    correct! rai p2-37... since there was no assessment done, you cannot even bill at default. the facility will have to eat the

  6. 15 months of MDS ....

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    altho' you need a copy of 15 months of mds placed in the new record, is the medical record storage room remote? on readmission, unless a sig. change occurred after 10 days, the initial assm't or...

  7. Should I take a class now or wait

    Talino replied to Schmoo1022's topic in MDS Coordinator Information

    Train-the-trainer classes will be over soon. After April, training programs will be bustling. Spend the time to read the MDS 3.0 Manual instead. It'll give a grip on what the "trainer" will be...

  8. State reportables

    Talino replied to Nascar nurse's topic in LTC: Directors, Assistant

    State laws vary. In New York, only #3 is a probability, even a toss-up. Since this is an acute change, the outgoing nurse's statement and witnesses' accounts will determine if negligence really took...

  9. case mix

    Talino replied to 1lanarn's topic in MDS Coordinator Information

    Assuming the PEG meets the calorie/fluid requirements, the RUG score will be in the Clinically Complex category. PEG + Dx: Aphasia will bump the RUG one level higher = Special Care. (1) Stage II...

  10. coding restorative and rehab for Med. A

    Talino replied to golflinda2214's topic in MDS Coordinator Information

    this is what the rai says... if a formalized rehab program does not cover other areas a resident may benefit from, then a rehab nsg. program can be initiated during the same period. example:...

  11. case mix

    Talino replied to 1lanarn's topic in MDS Coordinator Information

    to qualify in the rehab low intensity criteria (rla or rlb) in the last 7 days (section p1b [a,b,c] and p3): rehab therapy (can be across 3 disciplines - ot, pt, and/or st) = 45 minutes or more...

  12. New mds nurse in trouble?!

    Talino replied to hairstonwingate's topic in MDS Coordinator Information

    "Finalize" the 5-day and submit. The warnings are expected. Fortunately, CMS has not imposed penalty (yet) for submitting the PPS assm'ts late. Just make sure the billing department's RUG score...

  13. timing nebulizer treatments

    Talino replied to kavdah's topic in MDS Coordinator Information

    Return demonstration is just what it's meant to be, a follow-up of a previously learned experience. Therefore, an "initial" training must have taken place. 'am not sure if there is a more stringent...

  14. QI 10.1 Prevalence of antipsychotic use without conditions

    Talino replied to carrieMDSrn's topic in MDS Coordinator Information

    In most nursing homes antipsychotics are widely used to manage a behavior problem not related to a psychotic condition. Unless you have any of the ICD9 below to support its use, the flag is...

  15. correction sent for major error - ? RAPs

    Talino replied to glm777's topic in MDS Coordinator Information

    if by "big error" you and the idcp considers this a "major error", not only will you be doing a correction (modification), you will also need to complete a significant correction of a prior full...

  16. Raising CMI

    Talino replied to luvwine's topic in MDS Coordinator Information

    The instruction you are referring to only applies to Medicare PPS

  17. MDS 3.0 Data Specs (Final) 10/30/09

    Talino posted a topic in MDS Coordinator Information

    MDS 3.0 INFO Most of the recently posted dls are technical specs. The 1st link MDS 3.0 Item Subsets (V1.00) contains printable documents with the required subset of data items for each MDS 3.0...

  18. Seated transfer

    Talino replied to snooky123's topic in Geriatric, LTC

    OSHA GUIDELINE for safe transfers. Algorithm for Lateral Transfers from a sitting position - Fig. 1, p15. Same as above, Quick

  19. Range of Motion, Contracted Patients, and the Elderly

    Talino replied to Harparia's topic in Geriatric, LTC

    You have good intentions but you should not be performing any procedure without knowing the plan of care for a patient. The knowledge you acquire from outside may not necessarily be applicable to your...

  20. NY officials rescind mandatory flu shot order

    Talino replied to realnursealso/LPN's topic in Disaster Preparation

    Googled

  21. need opinions please - ANOTHER consultant!

    Talino replied to glm777's topic in MDS Coordinator Information

    yes, code still as a feeding tube. the definition specifies its presence, not whether the tube is used or not. the fluids flushed, despite a small volume, should be included in calculating a...

  22. matching dates

    Talino replied to carrieMDSrn's topic in MDS Coordinator Information

    How about you indicate the exact dates in your notification? See sample attached. MDS ASSESSMENT

  23. Changing MDS Data

    Talino replied to meghan61's topic in MDS Coordinator Information

    accdg. to the rai p5-6 ... everyone is bound to this requirement. it is only prudent to inform the discipline who made the original (erroneous?) entry since he/she might have documented it or...

  24. Managed care

    Talino replied to Rascal1's topic in MDS Coordinator Information

    Cost primarily plus add'l benefits - Medicare Advantage vs Original Medicare sample

  25. Managed care

    Talino replied to Rascal1's topic in MDS Coordinator Information

    This is called Medicare Advantage Plans (MAP) which a patient had previously enrolled in to avail of Medicare benefits rather than the traditional Medicare fee-for-service, as you call it, Medicare A....