Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Gtube and 60 day wellness rule.

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    As long as the resident is receiving: Calories = 51% or more per day or Calories = 26% to 50% AND 501cc or more of fluids per day ... through enteral feeding, the care remains at skilled level. In...

  2. CMI Score

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    PPS Calculator | SYNERTX Contract Rehab | SYNERTX

  3. Counting breathing treatment days/min's

    Talino replied to dianediane90's topic in MDS Coordinator Information

    Correct!Before we go further, do the staff nurses meet the definition of a "trained respiratory nurse"? "Respiratory therapy services include coughing, deep breathing, heated nebulizers, aerosol...

  4. Cdiff and med A- would you skill?

    Talino replied to TigerxLiLy's topic in MDS Coordinator Information

    Resident presents with a mild symptom of the disease. The services provided do not meet a skilled level of

  5. Did you know this on Humana patients?

    Talino replied to TigerxLiLy's topic in MDS Coordinator Information

    I concur. The MAO responsibility will only resume the following month, provided the skilled care requirements in the SNF are met. This is a very good "heads up"

  6. Med A Skill

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    ]Technically, no since the 60-day wellness period was never achieved. This is no different with a resident who is on a continuous tube feeding. Check with your Medicare biller. When a resident exhaust...

  7. Med A Skill

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    When you say she had a 60-day wellness period, does that mean the St IV sacral ulcer you initially provided skilled service was resolved or reduced to a St II or less? If this ulcer hasn't changed in...

  8. certs and recerts

    Talino replied to kmayfield's topic in MDS Coordinator Information

    Unless a physician is available 7 days a week, your practice does arouse doubt. The 30-day recertifications should be obtained at no later than 30 day intervals. Therefore, a physician can sign the...

  9. Turn & reposition program

    Talino replied to jalindsey's topic in MDS Coordinator Information

    RAI, M38 ]Organized/Planned ]Turn and position every 2 hours when in bed @ the following times: 8pm-back, 12am-right, 2am-back, 4am-left, 6am-back. Apply pillows in between legs when on sides....

  10. help!!! pps assessment

    Talino replied to hotsypatootsie's topic in MDS Coordinator Information

    Either I'm misleading you or simply misunderstanding your question. The current condition requiring IVF must have a relation to the condition for which the resident received treatment while in the...

  11. help!!! pps assessment

    Talino replied to hotsypatootsie's topic in MDS Coordinator Information

    Within 30 days, as long as the condition is related to the condition for which the resident received hospital

  12. MDS question, please help!

    Talino replied to lobster33's topic in MDS Coordinator Information

    "Closed the original quarterly" - Does that mean the Quarterly 8/5 was completed or cancelled? If completed, you don't need to do another assessment. If cancelled - it shouldn't have been since the...

  13. Memo from CMS for July 2014

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    Good question. There is actually no specific guideline from CMS to the MAOs regarding this situation (DC prior to completion of the Adm MDS). I just want to point out the difference between the HIPPS...

  14. Memo from CMS for July 2014

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    CMS only requires HMO to include the HIPPS code obtained from the Initial Adm MDS. Your contracted HMO may require additional MDS or not so it is best to get in touch with them and find out what each...

  15. help!!! pps assessment

    Talino replied to hotsypatootsie's topic in MDS Coordinator Information

    Like you said, interviews must be done on or before the ARD. "Late interview" is extraneous and should not be entered in the MDS. If missed, simply skip the interview and perform the staff assessment....

  16. Can we convert to Medicare A?

    Talino replied to g8torlpn69's topic in MDS Coordinator Information

    The 30-day rule does not apply. It is simply a continuation of skilled care from the original 3-day hospital stay, but by July 1st, traditional Med A is now the primary payer. Deduct the total number...

  17. help!!! pps assessment

    Talino replied to hotsypatootsie's topic in MDS Coordinator Information

    The RAI does not stipulate that a change in level of care, except hospice, warrants SCSA. Every individual is unique. Some may respond to a current treatment quick and some will linger on and even...

  18. help!!! pps assessment

    Talino replied to hotsypatootsie's topic in MDS Coordinator Information

    The comprehensive (Sig. Change) MDS is only required if the criteria for sig. change is met, regardless of payer. The IDT will have 14 days to determine that. The resident may revert to his usual...

  19. Sig. Change

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    Just to clarify According to the guideline ... The 3rd bullet would suggest the decline applies ONLY if the ADL was previously coded 0, 1, or 2 and now coded 3, 4, or 8 However, this one change...

  20. LPN's Role in MDS 3.0 in Ohio

    Talino replied to angelchild24's topic in MDS Coordinator Information

    Ohio Board of Nursing - Law and Rules The LPN may enter the location and date of the CAA. The LPN can "contribute" but cannot initiate a care

  21. Insurance plan - What to open?

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    That's perfectly fine. But is there a need to do Q3 one month so soon? Otherwise - 5D, 14D, 3Q

  22. Fracture - Significant Change

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    Same scenario

  23. help!!! pps assessment

    Talino replied to hotsypatootsie's topic in MDS Coordinator Information

    You cannot bill for the day of DC but you can bill for the day of

  24. help!!! pps assessment

    Talino replied to hotsypatootsie's topic in MDS Coordinator Information

    Indeed, hi ho

  25. Psychotic disorders

    Talino replied to kdmds's topic in MDS Coordinator Information

    http://www.webmd.com/schizophrenia/guide/mental-health-psychotic-disorders