Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. sig change question

    Talino replied to glm777's topic in MDS Coordinator Information

    rationally postponing the scsa may fly but this would entirely depend on an auditor's frame of mind. accdg. to the rai guidelines, the scsa must be conducted no later than the 14th day. hence, we must...

  2. SECTION M4G (Surgical wounds)????

    Talino replied to jeffrey930's topic in MDS Coordinator Information

    this is not clearly defined in m4g, nor has cms provided any clarification. according to med-surg texts, a "surgical wound", when uncomplicated, will normally heal in an expected time frame. ostomy...

  3. incontinence - MDS vs. MMQ definitions

    Talino replied to glm777's topic in MDS Coordinator Information

    your mmq nurse's assumption is based on these excerpts from the rai... "determination of whether or not to code incontinence is not a matter of volume. it is a matter of skin wetness and irritation,...

  4. MDS QUESTIONS

    Talino replied to toicole's topic in MDS Coordinator Information

    according to the rai p3-123 last paragraph... "item h2d must be checked whenever a fecal impaction was present during the 14-day assessment period, regardless of how the determination was made (e.g.,...

  5. Are SNFs required to have RNs at all times?

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

    The regs apply to all states - 483.30(b) Registered Nurse pp

  6. Is there any weight to MDS "certification?"

    Talino replied to IMABSNRN's topic in MDS Coordinator Information

    MDS coordinator certification is neither endorsed nor sanctioned by CMS. Your state may have a more stringent requirement and some employers prefer those who are certified. Be aware, the current...

  7. Who Pays for MED A items?

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    This has to do with consolidated billing - what's included and what is not http://www.cms.hhs.gov/snfconsolidatedbilling/ http://www.cms.hhs.gov/SNFPPS/05_ConsolidatedBilling.asp Assumably the primary...

  8. coding combo meds

    Talino replied to glm777's topic in MDS Coordinator Information

    "prinzide is composed of two kinds of drugs, lisinopril and hydrochlorothiazide. lisinopril is an angiotensin converting enzyme (ace) inhibitor that inhibits an enzyme that causes tightening of blood...

  9. coding combo meds

    Talino replied to glm777's topic in MDS Coordinator Information

    It is 2 drugs w/ 2 different actions simply put together into one convenient tablet. The effects of each still

  10. SNF liablity to accept residents

    Talino replied to crissrn27's topic in MDS Coordinator Information

    'am not sure I understood the question but you may find a relevant answer here pp

  11. what is scoop on section w, question 1?

    Talino replied to LoriAHS's topic in MDS Coordinator Information

    This is CMS' NPI page. Click on the Final Rule bottom page 36. There is also some info

  12. what is scoop on section w, question 1?

    Talino replied to LoriAHS's topic in MDS Coordinator Information

    just to clarify - this is not an update. this was posted in the mds frequently asked questions in 09/08/2005 when the entire section w was added into the mds specs in march '05. at that time filling...

  13. what is scoop on section w, question 1?

    Talino replied to LoriAHS's topic in MDS Coordinator Information

    'am not aware of it still being optional since implementation (large facilites - 5/23/07, small - 5/23/08). this is what the rai says... once the facility's npi had been used on previous...

  14. OMRA

    Talino replied to crissrn27's topic in MDS Coordinator Information

    Inactivating the 2nd OMRA was the correct action. Since you're performing an MDS outside an assessment window, the only way to get the Rehab RUG is to code the MDS as Sig. Change (AA8a =3) and OMRA...

  15. Dates on Care Plans

    Talino replied to carrieMDSrn's topic in MDS Coordinator Information

    The onset date should be retained. This proves the care plan was developed when the problem was initially identified. Succeeding dates will indicate when it was reviewed and the outcomes/results...

  16. medicare cert sheets

    Talino replied to friendlyface's topic in MDS Coordinator Information

    use the actual admit date even if md comes in 2 or 3 days later to certify the need. this is what the reg says... 40.2 - certification for extended care services (rev. 1, 09-11-02) the certification...

  17. Consultants and orders

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

    this matter should be discussed with the medical director and the facility's p&p in securing consultations reviewed. there are certain locations where the services of some consultants are not easy...

  18. ASHD vs CAD

    Talino replied to kmiles's topic in MDS Coordinator Information

    Just to clarify ... If you choose to check "other" cardiovascular disease, you will enter the specific disease code (ICD9) in Section I3. The ICD9 for CAD is 414.01. The ICD9 for ASHD is also...

  19. "I" careplans

    Talino replied to crissrn27's topic in MDS Coordinator Information

    This is an old thread from another forum There are 2 powerpoint presentations. There are also sample "I" careplans posted. This is an article of proponents/opponents views of the "I" care plans....

  20. Is this a skill?

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    If a recent procedure, probably for a few days (5-7) to observe for infection. Can be extended if healing is compromised by an existing vascular problem or DM....

  21. MDS 3.0 & RAP---new CMS guideline on printing MDS's

    Talino replied to santeeaholic's topic in MDS Coordinator Information

    the guideline says... "the requirement to maintain 15 months of data in the resident's active clinical record applies regardless of form of storage to all mds forms..." as long as ... "the...

  22. MDS 3.0 & RAP---new CMS guideline on printing MDS's

    Talino replied to santeeaholic's topic in MDS Coordinator Information

    nascar, i am assuming santee is referring to this memo back in january '09. (see last page) at one point there was a conflict between the som appendix pp instructions and the rai manual regarding...

  23. Raising CMI

    Talino replied to luvwine's topic in MDS Coordinator Information

    that would probably be slang for doing an assessment earlier than actually scheduled. example: last quarterly r2b was 2/1/09, rug = pa. next quarterly r2b would be due on or before 5/3/09, probably...

  24. How can I get MDS 101

    Talino replied to meluhn's topic in MDS Coordinator Information

    Try this one Click on "Register for MDS" (short and simple process) MDS Self-study guide MDS Educational Materials Official MDS 2.0

  25. MDS 3.0 Delayed until October 2010

    Talino posted a topic in MDS Coordinator Information

    i have learned from a knowned mds software vendor... "a ranking cms official has just informed nasl (national association for the support of long term care) that the agency has decided to defer, by...