in my previous posts i've mentioned a "free" discussion group which i find very helpful and essential to those who are engaged in the mds process. finally, they are closing their doors to non-members...
Changing the ARD (as long as you're still within the acceptable ARD timeframe) when necessary to capture a higher RUG is the work of a smart MDS coordinator, a good clinical accountant. That's what...
on the air in a corporate jet, the pilot went into cardiac arrest and dies. aboard, the company president approaches his most intelligent accountant and said, "here's the airplane pilot's manual, read...
Do you mean a hardcopy of the MDS? All the different types of MDS forms -- http://www.cms.hhs.gov/NursingHomeQualityInits/downloads/MDS20MDSAllForms.pdf The resident's chart should have a printed MDS...
Your best resource probably is your state RAI Coordinator. Get in touch w/ them. Keep MDS links in your favorites and make it a habit of checking them at least twice a month. MDS 2.0...
That is correct. You will need to start counting again the day after the last skilled day until 60 consecutive days (skill-free) is achieved. Once that criterion is met, even if resident resumes...
I don't really remember which ones I have offered. Send me a PM with the list of the forms you would be interested in. Include your email address. To send me a PM, log-on first. Click on my name then...
The MPAF is the short version of the MDS, similar to the Quarterly, used solely as an option for PPS assm'ts. See RAI p2-32. Use of the Full version for PPS may be a state requirement. However, only...
Basic Medicare PPS assessment is explained in the RAI Chapter 2 pp 2-27 to 2-40 PPS RUGs are explained in Chapter 6 Medicare Guidelines (who's covered and who gets cut off) ......
Current hands-on patient care experience is not a requisite. Being an educator will be very beneficial, that is, after you've mastered the MDS. This is not to undermine anyone's ability. We did not...
It is wise to use grace days in order to capture the highest RUGs possible. See the definition of Grace Days in Appendix A, A-5. I believe your initial concern is that the therapy may have been...
Do you mean up to 5 days only then DC (as opposed to 5 days per week)? If so, the total rx provided by the 8th day ARD (using 3 GDs) must not exceed 5 days. The extra rx day (6) defied MD's order and...
Therapy may start anyday of the week. The total 6 therapy days in the past 7 days incedently captures 1 day (Sat) from the previous week. It does not mean that the therapy would be provided Mon-Sat...
Without basic knowledge of the MDS, no seminar or online training can make you a bonafide MDS coordinator, no matter what fancy certifcation they award you after completion. Get involved in completing...
the therapist is partially correct. coding: for each body part, code the appropriate response for the resident's active (or active assisted) range of motion during the past seven days. the process of...
Unless "certified" immediately raises your salary, focus on the state boards for now. You have the support of a DON who is experienced w/ MDS. Learn the basics through her. An on-the-job hands-on...
Talino replied to Inquisitive one's topic in Geriatric, LTC
This is not to dispute a facility's practice. CMS does not emphasize a specific number of hours wherein a Leave of Absence can take place. All Fiscal Intermediaries abide by the same CMS regulation...
Talino replied to Inquisitive one's topic in Geriatric, LTC
This is from the Medicare Benefit Policy Manual Chapter 8 Coverage of Extended Care (SNF) Services Under Hospital Insurance http://www.cms.hhs.gov/manuals/Downloads/bp102c08.pdf p35, last paragraph...
VB2 is the date an RN Coord certifies that the triggered RAPs (regardless by which discipline) have been addressed and completed. VB4 is the last permissible date (no later than 7 days after VB2 date)...
Any computerized assessment tool is only as effective if ALL relevant information related to resident care is also entered electronically. Unless your facility has adapted full electronic...
The therapist's treatment plan must be approved by the physician. If the order approved by the physician calls for therapy 5 days a week, then a therapist cannot give treatment beyond that. To capture...