Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Psychotic disorders

    Talino replied to kdmds's topic in MDS Coordinator Information

    These are the common types. However, a psychiatrist's diagnosis must be present to code

  2. Physician's Visits...who counts?

    Talino replied to KaraBeth11's topic in MDS Coordinator Information

    An optometrist is a physician. See definition here under

  3. Physician's Visits...who counts?

    Talino replied to KaraBeth11's topic in MDS Coordinator Information

    double

  4. Does this qualify for Medicare?

    Talino replied to Gaby63's topic in MDS Coordinator Information

    Assuming resident is receiving skilled service at your facility - Is resident still enrolled w/ HMO (managed care Medicare)? If Yes, HMO need to authorize skilled care at your facility and you cannot...

  5. Does this qualify for Medicare?

    Talino replied to Gaby63's topic in MDS Coordinator Information

    No, if 4/1 is day 1 of Medicare entitlement. Medicare Benefit Policy Manual Chapter 8 - Coverage of Extended Care (SNF) Services Under Hospital Insurance Yes, if resident was formerly on managed care...

  6. Discharged for one day.

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    Assuming resident was actually in"observation" for more than 24 hours, I can only recommend inactivating the 60D & COTs, complete a DC and a ReEntry and submit as late with a warning. It would be...

  7. Humerus FX - Sig. Change

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    The IDT has 14 days to determine how the cast affects a resident's overall function - ADLs, mood, behavior, po intake, etc. Print the most recent MDS and compare the current status if one was done...

  8. ADLs

    Talino replied to ibtootie's topic in MDS Coordinator Information

    In such case, you can interview the actual caregiver and have him/her explain to you what the resident actually did and what he/she did. You can then reeducate the caregiver and have him/her enter or...

  9. Late days and BIMS, MDS Nurse in a tough spot.

    Talino replied to LTCNS's topic in MDS Coordinator Information

    Politely show the DON and Adm the attestation clause of Section Z400 -- "I certify that the accompanying information reflects resident assessment information..." that you cannot possibly sign and...

  10. mds entry

    Talino replied to maryalycebell's topic in MDS Coordinator Information

    jRAVEN is the only free software provided by CMS. However, the same specs apply to all MDS softwares. The item subsets may vary for each assessment type (see RAI, App 8). If a resident is discharged...

  11. Medicare denials

    Talino replied to nurseamy25's topic in MDS Coordinator Information

    Each individual is unique. A therapist eval is crucial. As long as you can prove that the therapy plan of care justifies the need, there is no reason to modify your practices. Document, document,...

  12. Medicare denials

    Talino replied to nurseamy25's topic in MDS Coordinator Information

    'usually occurs when a provider's billing is above average compared to other facilities in the area for the same

  13. Medicare denials

    Talino replied to nurseamy25's topic in MDS Coordinator Information

    There is a multitude of reasons ( If it's diagnosis, your therapist may be entering the incorrect diagnosis codes to bill for the services rendered. It can be an error in data entry, a claim that is...

  14. Talino- help please! Question about setting ARD

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

    You can dash-fill the interview if the ARD precedes the date they were done. You can include the BIMs as part of your nursing admission assessment and use it if the ARD is moved back. For uplanned...

  15. Section H: Toileting Program

    Talino replied to erin21880's topic in MDS Coordinator Information

    In order to determine that a toileting program exists, the following three requirements must have been met: 'looks like they met the requirements. A "basic" incontinent care to maintain skin...

  16. Is this a Short stay?

    Talino replied to mds2011's topic in MDS Coordinator Information

    A0310C must = 1, not 3 There must be at least 1 therapy provided on 1/11 (include this therapy day/mins even though this is the DC date also) Make sure Z0100C =

  17. Is this a Short stay?

    Talino replied to mds2011's topic in MDS Coordinator Information

    No. Recheck the 8 conditions I have mentioned if you met ALL of those. Make sure Z0100C is coded "Yes". Your RUG score should be one of these based on therapy minutes. 15-29 mins - Rehab low 30-64...

  18. LOA

    Talino replied to luvwine's topic in MDS Coordinator Information

    RAI 2-36 ...just to explain Some facilities close records when a resident is admitted to the hospital and opens a new one when they come back. Some gets paid for bedhold privately or thru Medicaid...

  19. Section O - Respiratory Therapy

    Talino replied to mds2011's topic in MDS Coordinator Information

    No, but you can not include the minutes while you were not present or does not have the resident within line-of-sight. The therapy mins involve time preparing the resident/equipment/med, assessing...

  20. IV fluids and section G

    Talino replied to TigerxLiLy's topic in MDS Coordinator Information

    Once IVF is used for nutrition/hydration, it becomes a component of ADL: Eating aside from the p.o. intake. Extensive is the correct code since the staff, not the resident, administered and managed...

  21. IV fluids and section G

    Talino replied to TigerxLiLy's topic in MDS Coordinator Information

    If the IVF is provided for nutrition and/or hydration purposes, then it should be factored in ADL Eating. Hence... If a formerly independent resident with Eating is put on NPO and IVF is the primary...

  22. LOA

    Talino replied to luvwine's topic in MDS Coordinator Information

    Please clarify "bedholds did not count according to CMS" If she left on physician approved "leave" and continued to pay for the bed until 1/19, she was an active resident of the facility. Albeit, it...

  23. LOA

    Talino replied to luvwine's topic in MDS Coordinator Information

    Who was paying for the bedhold while on LOA? Technically you cannot do a DC tracking 12/23 since you will be out of compliance (Z0500B must not be >14 days from ARD). 1/19 is the most appropriate...

  24. Is this a Short stay?

    Talino replied to mds2011's topic in MDS Coordinator Information

    Yes, you are right on the money! However, I strongly recommend reading how you met the mandatory "8 conditions" in order to create a Short Stay PPS. RAI p6-17 to

  25. Talino- help please! Question about setting ARD

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

    * Yes