Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Isolation - yes/no

    Talino replied to mamahank40's topic in MDS Coordinator Information

    This is what the RAI says... Code for single room isolation” only when all of the following conditions are met: 1. The resident has active infection with highly transmissible or...

  2. stasis vs.pressure

    Talino replied to dianediane90's topic in MDS Coordinator Information

    Was there a physician statement that the area was a pressure ulcer when captured in the prior MDSs? If it was solely based on a "nursing assessment", the PA's current diagnosis supersedes the previous...

  3. Federal audit and Adm MDS

    Talino replied to glm777's topic in MDS Coordinator Information

    In their line of work, it's not uncommon to see one who purports to be "the expert" moreso when confronted by the real thing. Simply dispute it with the RAI reference if

  4. MDS for falls...

    Talino replied to momma2rn's topic in MDS Coordinator Information

    The falls definition in the RAI is an authoritative statement. A surveyor will have a feast tagging a facility on their "own" interpretation. Even a scientific evidence is moot unless adapted by

  5. Admitting Dx

    Talino replied to smithand's topic in MDS Coordinator Information

    The definition is explained fairly clear in the RAI, pI-3 "Determine whether diagnoses are active: Once a diagnosis is identified, it must be determined if the diagnosis is active. Active diagnoses...

  6. OBRA

    Talino replied to smithand's topic in MDS Coordinator Information

    See attached OBRA

  7. section L and M question

    Talino replied to dianediane90's topic in MDS Coordinator Information

    1. Edentulous is lacking natural teeth hence the presence of dentures. The CAA is simply reminding us that being edentulous may pose a problem with nutrition. You will choose not to proceed because...

  8. Help please

    Talino replied to smithand's topic in MDS Coordinator Information

    Please read the RAI p5-12 to 5-13 regarding "When any significant error is discovered in an OBRA comprehensive or Quarterly assessment..." Significant correction of a prior assessment is a 2-prong...

  9. Help please

    Talino replied to smithand's topic in MDS Coordinator Information

    Worsening” is actually defined in the RAI as a pressure ulcer that has progressed in stage, from 1-4. Since yours was initially a "wound" it doesn't meet the definition. However, you will still...

  10. Help please

    Talino replied to smithand's topic in MDS Coordinator Information

    If during the Quarterly look back period the skin assessment designated the site as a wound, without additional documentation to disprove it wasn't, then you coded it correctly as such. In other words...

  11. MDS assessments

    Talino replied to graceRN67's topic in MDS Coordinator Information

    • "If a resident is discharged prior to the completion deadline for the assessment, completion of the assessment is not required. Whatever portions of the RAI that have been completed must be...

  12. Locking Sections Prior to ARD

    Talino replied to BrookeJayneRN, DIT's topic in MDS Coordinator Information

    I can't confirm what the consultant is implying with "lock". You are correct that the MDS should not be started (sign and dated) until after the ARD, except for the interview sets. The MDS can then be...

  13. Need help!!!

    Talino replied to lonnieandangela's topic in MDS Coordinator Information

    You are correct. However, this is only one part that is unfolded, Support Provided is Eating = X/1. Now, how was the food/drink delivered to the resident's mouth (Self-performance)? If X = 0 or 1,...

  14. Need help!!!

    Talino replied to lonnieandangela's topic in MDS Coordinator Information

    No matter how much you read the RAI, there will likely be a situation you thought you knew but didn't. Bring up a scenario and we can all dissect the answer. "experienced MDS nurse" is moot. Just post...

  15. # of days between 5- and 14-day

    Talino replied to carlomscalisi's topic in MDS Coordinator Information

    There is nothing wrong with ARD of the 14-day. The look back period remains the same regardless. [TABLE] [TR] [TD=class: xl63]Assessment[/TD] [TD=class: xl63]Reference Date[/TD] [TD=class:...

  16. Medicare days

    Talino replied to mdsnewbie's topic in MDS Coordinator Information

    You can try calling the previous NF (if still in existence) or call your MAC for assistance. In the meantime, if the resident has a 3-day hospital stay, treat as if she has the full 100 day...

  17. Medicare days

    Talino replied to mdsnewbie's topic in MDS Coordinator Information

    Find out who your MAC is, the entity who handles your Medicare claims. There should be a tel # to access the IVR (Interactive Voice Response) regarding med a benefits for a

  18. Peg and wellness period

    Talino replied to TigerxLiLy's topic in MDS Coordinator Information

    Benefit Period Explained p18 How long does Medicare cover my SNF care? Medicare uses a period of time called a benefit period to keep track of how many days of SNF benefits you use, and how many are...

  19. Coding Fractures

    Talino replied to mamahank's topic in MDS Coordinator Information

    Check I3900, Hip fracture In Section I8000, add the following codes: S32.89XD -Fracture of other parts of pelvis, subsequent encounter for fracture with routine healing (unless a specific part of...

  20. Non surgical dressing

    Talino replied to glm777's topic in MDS Coordinator Information

    Non-Surgical dressings defined, RAI p M-40 "This category may include but is not limited to: dry gauze dressings, dressings moistened with saline or other solutions, transparent dressings

  21. Messed up ARD?

    Talino replied to Nursingnew4's topic in MDS Coordinator Information

    OMRA is Other Medicare Required Assm't - COT, SOT, EOT so you meant OBRA (Adm, Annual, Quarterly, etc) Insurances, like Medicare Advantage organizations, only require the HIPPS code (Z0100A) obtained...

  22. Qualifying for Medicare A - Talino, can you help?

    Talino replied to Mama Jules's topic in MDS Coordinator Information

    http://www.medicare.gov/publications/pubs/pdf/10153.pdf Start on

  23. Qualifying for Medicare A - Talino, can you help?

    Talino replied to Mama Jules's topic in MDS Coordinator Information

    The 60-Day wellness period began 1/23/15 when resident stopped receiving a skilled service. Granting the resident never received skilled care thereafter or was not hospitalized on or prior to 3/23/15,...

  24. HELP! Discharged 1 day after admission

    Talino replied to mydoggierocks's topic in MDS Coordinator Information

    Since resident was in the facility at midnight, you get paid for the day of admission. Combine a 5-day and the DC. Capture applicable items received while in hospital. You will get paid the calculated...

  25. Gtube and 60 day wellness rule.

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    Yes, and a new 3-day hosp. stay is not even