Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Adm MDS completion

    Talino replied to glm777's topic in MDS Coordinator Information

    The resident must be in the facility for 14 consecutive days in order for the comprehensive assessment to be required. If the Admission MDS has been started but the resident is discharged prior to day...

  2. Adm MDS completion

    Talino replied to glm777's topic in MDS Coordinator Information

    If the resident is discharged prior to day 14th, the Adm MDS is not required. When resident returns, you have a "new" 14 days to complete the Adm MDS from day of

  3. Gtube

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    A reasonable concern. CMS, however, states ... Read the additional guideline pp 10-11

  4. ADL coding question

    Talino replied to glm777's topic in MDS Coordinator Information

    The October 2017 RAI, pG-8 has a more concise Algorithm 11155 MDS 3.0 CHANGE TABLE Chapter 3 Section G v1.15.pdf 11122 MDS 3.0 Chapter 3 Section G

  5. Medicare/SOT

    Talino replied to degravida5's topic in MDS Coordinator Information

    30.1 – Administrative Level of Care Presumption p19 More than likely your resident meets the qualification of this guideline. This means if you created a PPS 5-day with ARD no later than day 8...

  6. JP drain and MDS

    Talino replied to degravida5's topic in MDS Coordinator Information

    If you're referring to your Medicare / SOT question, I will leave the answer

  7. JP drain and MDS

    Talino replied to degravida5's topic in MDS Coordinator Information

    RAI,

  8. EOT - resumption

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    7/28 is actually the correct ARD, not 7/24, my bad. But no, you cannot combine the PPS discharge. It has to be completed separately with same

  9. EOT - resumption

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    In your original post, you have mentioned that the resident will resume at same RUG level -- ... that's the reason for the EOT-R. But since your RUG level is not what it used to be, EOT-R will be...

  10. EOT - resumption

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    Create an MDS EOT (not SOT) w/ ARD 7/23 Section O0450a = Yes Section O0450b = 7/24 You will find this guide on p2-53

  11. gabapentin as scheduled pain med

    Talino replied to glm777's topic in MDS Coordinator Information

    Gabapentin (aka Neurontin) and Lyrica are not intended to treat a nerve damage per se. They are usually used to directly target neuropathic pain. Hence, a pain medication. I would, to set aside...

  12. Rule of three

    Talino replied to glm777's topic in MDS Coordinator Information

    If there are no three episodes (meaning each episode occured no more than 2x) at any given level, the code will be Supervision. Since there is 3 Total and 4 Supervision, the quoted rule applies....

  13. Rule of three

    Talino replied to glm777's topic in MDS Coordinator Information

    The following when factored: 8 times supervision 4 times totally dependent ... satisfy the instruction in p

  14. Admission assessment

    Talino replied to glm777's topic in MDS Coordinator Information

    A few changes in verbiage but the same context. In a nutshell, when a resident is discharged on or before day 14th of stay, you are not required to complete the Adm MDS whether you already set an ARD...

  15. Start of Theray

    Talino replied to Melissamds17's topic in MDS Coordinator Information

    Do you mean the primary payer is Managed Medicare? If so, do not combine the 5 day / SOT with the DCRA. The DCRA has to be transmitted, the 5 day/SOT does not. You can copy the DCRA when complete and...

  16. BIMS assessment

    Talino replied to brittanywynne's topic in MDS Coordinator Information

    The facility may designate anyone” to conduct the interview provided the interviewer is cognizant in the techniques to perform the task. The BIMS techniques are explained throughout Chapter 2,...

  17. Correction to Prior Assessment

    Talino replied to Melissamds17's topic in MDS Coordinator Information

    It does meet the criteria for a significant error (see RAI p2-28) hence the SCPA is necessary. The guideline (RAI p5-12) states - Hence, PCC should allow you to create the modification first and...

  18. New diagnosis

    Talino replied to Melissamds17's topic in MDS Coordinator Information

    I can understand your hesitation - whether to just do the SCSA now rather than wait and be compelled to do the SCSA down the road. That's a huge weight loss in 30 days. When the change is unclear...

  19. New diagnosis

    Talino replied to Melissamds17's topic in MDS Coordinator Information

    Do the SCSA. RAI bullet #2,

  20. What MDS do I open? MCR patient. - D/C, Re-entry, Admission+5day or Sigchange+5day?

    Talino replied to MDSnewb's topic in MDS Coordinator Information

    If the discharge was "Return Anticipated", you do not do another Admission but just the 5-day. You will use the same diagnosis that was identified initially when resident first received skilled...

  21. What MDS do I open? MCR patient. - D/C, Re-entry, Admission+5day or Sigchange+5day?

    Talino replied to MDSnewb's topic in MDS Coordinator Information

    If resident was receiving Med A benefits prior to hosp'n: 12/13 - DC 12/14 - Entry 5 Day - restart the PPS sched. The midnight rule does not apply. SCSA - only if criteria met; the team has up to 14...

  22. section m help

    Talino replied to Mistyrose123's topic in MDS Coordinator Information

    1. Not present on admission” since the unstageable injury was originally acquired in the facility. In your case, it would be the reverse.2. Since it's in a bony-prominent area, it is a St

  23. Sig change for the same reason

    Talino replied to glm777's topic in MDS Coordinator Information

    When you first completed the SCSA, what was your expectation based on your goal and interventions? More than likely that the pressure injuries will decrease in size and the resident will not...

  24. Certification

    Talino replied to Melissamds17's topic in MDS Coordinator Information

    'costly expense that requires renewal and a retest every 2 years (?) which CMS does not necessarily endorse neither required for state practice or licensure. Does your facility require you to be...

  25. Managed Care

    Talino replied to mamahank40's topic in MDS Coordinator Information

    Correct. MDS created for Managed Medicare entities are not transmitted. Section GG is not factored in the RUG calculation so you can dash-fill it. Ignore A0600B. Membership is beneficial, not only to...