Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Section GG Tracker

    Talino replied to GenaP's topic in MDS Coordinator Information

    It’s posted already, see post before

  2. Managed Medicare and HIPPS code

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    'just delighted to know and share the answer. Your compliment is surely appreciated

  3. Managed Medicare and HIPPS code

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    The stand alone Admission MDS does not have Section GG and will not yield the HIPPS code. Only the 5-Day or IPA have section GG which generate the HIPPS. If you are seeing the HIPPS code in the...

  4. Managed Medicare and HIPPS code

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    As I stated in my initial response, most MA plans pay a pre-contracted rate or by levels. In which case, regardless the intensity of therapy a resident receives, the pay is a standard rate (720 mins...

  5. Managed Medicare and HIPPS code

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    You should only use the HIPPS from a stand alone 5-Day. A standalone Adm MDS does not yield the HIPPS code. Did you combine an Adm and 5D and submit or you just created a duplicate that's not...

  6. Section GG Tracker

    Talino replied to GenaP's topic in MDS Coordinator Information

    loveanurse

  7. Managed Medicare and HIPPS code

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    Although the HIPPS code is required, most Medicare Advantage plans pay by levels or a pre-contracted rate. If this is the case, Copy the Adm MDS and code it as a 5-Day. Set the ARD the same as the Adm...

  8. need clarification regarding GDR documentation

    Talino replied to glm777's topic in MDS Coordinator Information

    Yes, they are valid MD documentation. APPENDIX PP pp 523-524 For any individual who is receiving a psychotropic medication to treat a disorder other than expressions or indications of distress related...

  9. ST wanting to do BIM's

    Talino replied to MDSNurse88's topic in MDS Coordinator Information

    True, it is widely endorsed, which aligns the tasks with ST’s role in capturing the SLP component. We may all agree the task can be conducted by whomever with the skills (Nurse, OT, ST, or SW)....

  10. Flu vaccine

    Talino replied to Christine7's topic in MDS Coordinator Information

    Humbly request she sign the particular Section/Item only based on her interpretation. You simply sign the completion of the assessment. YOU are a true MDS coordinator abiding by the guidelines stated...

  11. Section GG Tracker

    Talino replied to GenaP's topic in MDS Coordinator Information

    Need a password to open, send a pm SECTION GG - ADMISSION.pdf SECTION GG -

  12. Flu vaccine

    Talino replied to Christine7's topic in MDS Coordinator Information

    "None of the above" would be the logical answer. But not to repudiate the DON, notify her you'll seek guidance from the state RAI

  13. PDPM Admission

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    Just to add to ... Admissions on or after October 1st, Admission and 5-day may be combined. Admissions prior to October 1st, during the last week of September, combining the 5-day and Adm is a bit...

  14. How does Hospice affect CMI score

    Talino replied to MDSNurse88's topic in MDS Coordinator Information

    You may want to direct the inquiry here for your state's case mix reimbursement

  15. How does Hospice affect CMI score

    Talino replied to MDSNurse88's topic in MDS Coordinator Information

    Medicaid hospice reimbursement may be state-specific. When you code O0100K: Hospice care, the state may exclude or include the resident from the case mix, or adjust the

  16. hospital observation stay

    Talino replied to glm777's topic in MDS Coordinator Information

    Code 03 does not distinguish inpatient and observation stay in a hospital. It is used primarily for demographic tracking to assist in care planning, not reimbursement. But if you have a more specific...

  17. hospital observation stay

    Talino replied to glm777's topic in MDS Coordinator Information

    Individual facilities may designate this type of admission as they wished. In the MDS world, we abide by a more stringent regulation ... RAI, pp A-24,

  18. hospital observation stay

    Talino replied to glm777's topic in MDS Coordinator Information

    Considering duration of stay, regardless of statuts,

  19. Schizoaffective disorder-bipolar type

    Talino replied to phyuphyul's topic in MDS Coordinator Information

    Per medical texts, being labeled schizoaffective means having both psychotic and mood symptoms (major depressive or bipolar). Manic depression only refers to mood symptoms, hence, ruled

  20. What is this fascinating specialty?

    Talino replied to adventure_rn's topic in MDS Coordinator Information

    [ATTACH=CONFIG]26927[/ATTACH]

  21. Active diagnosis

    Talino replied to Michell17's topic in MDS Coordinator Information

    If there is no behavior issue coded in E and no hallucination or delirium identified, don't enter a dx for behavior disturbance. To be active it should be

  22. Active diagnosis

    Talino replied to Michell17's topic in MDS Coordinator Information

    Psychosis is a symptom. It is not the same as Psychotic Disorder which requires physician documentation. So psychosis alone is not coded in I. If you're referring to a more specific diagnosis in I8000...

  23. EOTR

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    The EOT is only required if the 5-day yielded a Rehab RUG. Since it did not, the biller is correct. Inactivate the EOT. The optional SOT with ARD 5-7 days after the resumption of Rehab, may have been...

  24. EOTR

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    EOT ARD between 1/4 - 1/6 O0450A - Yes O0450B -

  25. PPS tracking tool

    Talino replied to julemunoz15's topic in MDS Coordinator Information

    Go to this thread PPS Tracking Form and see page 3, post #29. There is a downloadable file, though outdated, has a pretty good calculator. It opens with Instructions. Click on the bottom tab for the...