Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Interrupted stay

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    Do a 5D with ARD no later than

  2. Entry required?

    Talino replied to LindaC1's topic in MDS Coordinator Information

    Yes to both, regardless of

  3. Active diagnoses

    Talino replied to PsychNurseWannaBe's topic in MDS Coordinator Information

    Diet? A diabetic diet alone may support the diagnosis. Otherwise, it’s

  4. OBRA Assessment

    Talino replied to Liza22's topic in MDS Coordinator Information

    Ignore. Once the SCC is completed (accepted), the scheduler will update

  5. Interview when in isolation for Covid

    Talino replied to litbitblack's topic in MDS Coordinator Information

    CMS dose not designate interviewers. That’s left at the facility’s discretion. With adequate training and simply adhering to the guidelines and instructions, the interviews can be performed by...

  6. ICD10

    Talino replied to Liza22's topic in MDS Coordinator Information

    Primary would likely be A41.9 Sepsis, unspecified organism. If organism is mentioned you can look into A40.x or A41.x. Also R65.20 without septic shock or R65.21 with septic shock. Secondary...

  7. Morbid Obesity

    Talino replied to Liza22's topic in MDS Coordinator Information

    Although a physician has the ultimate authority to enter diagnosis does not mean it becomes indisputable. A physician may have copied a prior transfer medical record rather than an actual eval’n to...

  8. HMO PART A - UNITED HEALTHCARE

    Talino replied to Liza22's topic in MDS Coordinator Information

    Correct, all PPS type assessments are only required for traditional Medicare. For billing purpose, Med Advantage products (HMO, PPO, etc) require the HIPPS code in the claims (UB04) which can only be...

  9. Late Submission

    Talino replied to Liza22's topic in MDS Coordinator Information

    Late submission becomes a survey issue if recurrent. One or two may be negligible but always document reason and have a plan of correction in place. Dashing weight affecting payment only applies if...

  10. PRIVATE PAY

    Talino replied to Liza22's topic in MDS Coordinator Information

    If admitted to a Medicare or Medicaid certified unit and discharged on the same day, the Entry and DC tracking are still required, regardless of

  11. Section B

    Talino replied to onthesunnyside's topic in MDS Coordinator Information

    Addendum (sorry had to end prior post)... The RAI also provides a simple guide (Steps for assm't) in conducting speech, hearing and vision that can be learned by any facility

  12. Section B

    Talino replied to onthesunnyside's topic in MDS Coordinator Information

    CMS does not designate who may perform MDS assessments including interviews (except for an RN who has to coordinate the MDS process). It’s the facility’s responsibility to assign tasks. CMS do...

  13. Aetna MCR assessment needed

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    Correct, just the

  14. Dashing

    Talino replied to Liza22's topic in MDS Coordinator Information

    Sig. change is not determined by the diagnosis alone. The criteria for 2 or more areas of change that can be irreversible/prolonged must still be met. If that’s the case all events not attained in...

  15. LTC to SNF

    Talino replied to Liza22's topic in MDS Coordinator Information

    Not necessarily. The criteria for SCSA must still be satisfied. The team has 14 days to decide whether the changes are permanent or prolonged and another 14 days to do the SCSA once determined. Doing...

  16. Fall/New Admission/SCSA

    Talino replied to Liza22's topic in MDS Coordinator Information

    In the conditions mentioned above, we are not providing skilled services for a diagnosis that is resolved but for the consequential effects of the treated condition/s. In most cases, patients...

  17. Nursing CMI

    Talino replied to Liza22's topic in MDS Coordinator Information

    The HIPPS scores are located in Chapter 6 of the RAI. IVF given in the last 7 days will yield a Special Care High nursing case mix. Open this PDPM calculator https://www.broadriverrehab.com/pdpm-calc...

  18. CMS

    Talino replied to Liza22's topic in MDS Coordinator Information

    No, admission is not required but the resident must still meet the requirements for need of skilled service. The waiver does not apply to residents who have previously exhausted 100 benefit days and...

  19. Fall/New Admission/SCSA

    Talino replied to Liza22's topic in MDS Coordinator Information

    Even these conditions are resolved in the hospital, they are likely the reason for debility requiring skilled care in your facility. Hence, any of these is an acceptable primary

  20. Fall/New Admission/SCSA

    Talino replied to Liza22's topic in MDS Coordinator Information

    As an afterthought, was the resident discharged to hospital for the

  21. Fall/New Admission/SCSA

    Talino replied to Liza22's topic in MDS Coordinator Information

    Do the 5D separately. You have up to 14 days to complete the Adm so maybe you’ll be able to capture the status after the fracture if you move the ARD. If not, just proceed with the Adm/5D as...

  22. OBRA

    Talino replied to Liza22's topic in MDS Coordinator Information

    That is correct. Item C0100 must be coded 1, Yes, and the standard “no information” code (a dash “-”) entered in the resident interview items. So C0500 = 99. Just a precaution - Staff must...

  23. OBRA

    Talino replied to Liza22's topic in MDS Coordinator Information

    The RAI only addresses a situation when the MDS is due during the resident’s absence you are allowed to reschedule the ARD up to 14 days on reentry. Since the resident was in the facility on day 92...

  24. Coding a Broda Chair

    Talino replied to litbitblack's topic in MDS Coordinator Information

    You can not. At one SNFQRP Q&A, 2016 (?) maybe, this was CMS reply (sorry, can't find the link anymore) ... "Neither geriatric recliners nor Broda chairs, which are primarily used for those with...

  25. IPA and restorative

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    Not worth it. 'may even lower your 5day rate. There's a PDPM Calculator app for Android and iOS which can show you the rate based on your clinical