Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Talino- help please! Question about setting ARD

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

    That's perfectly prudent as long as the day you switched the ARD is no later than day 18. So if today is already day 19, you cannot change the ARD

  2. Section O - Respiratory Therapy

    Talino replied to mds2011's topic in MDS Coordinator Information

    Handheld nebulizers are usually excluded. However, meds and treatments are not the determining factor. The person who provided the treatment is the clincher -- a respiratory therapist or a "trained"...

  3. Talino- help please! Question about setting ARD

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

    You may set the ARD in the computer initially on day 13 then change it later on as necessary provided you are still within the allowed ARD window of a PPS assm't (e.g. 14-day is day 13 - 18). Suffice...

  4. Section O - Respiratory Therapy

    Talino replied to mds2011's topic in MDS Coordinator Information

    Respiratory Therapy defined, RAI A-19 Nurses providing respiratory medications alone

  5. CNA ADL training

    Talino replied to nikkibobicky's topic in MDS Coordinator Information

    Rather than obligating the CNAs to learn the same terminology the MDS compel nurses to understand and code, try to rephrase the definition in a simple easy-to-associate manner. Avoid the words...

  6. Late COTs

    Talino replied to mds2011's topic in MDS Coordinator Information

    Correction: 'should be

  7. Late COTs

    Talino replied to mds2011's topic in MDS Coordinator Information

    Without specific dates it will be difficult to answer your question accurately. You may want to review the instructions and implications for late PPS assm'ts in pp 2-73 to 2-75 and share it with your...

  8. Resident discharge less than 24 hours.

    Talino replied to Cecilianurse's topic in MDS Coordinator Information

    Resident Is Sent to Acute Care Facility, Not in SNF over Midnight, and Is Not Admitted to Acute Care Facility RAI

  9. Does Midnight Rule exception apply if Resident leaves AMA?

    Talino replied to ibtootie's topic in MDS Coordinator Information

    With concise documentation that the patient's discharge to home is deemed unsafe and patient signs AMA --

  10. distinct days therapy

    Talino replied to dianediane90's topic in MDS Coordinator Information

    Look back 7 days. Count only the days therapy was delivered (irregardless of number of therapies). I believe you got the

  11. distinct days therapy

    Talino replied to dianediane90's topic in MDS Coordinator Information

    PT - Monday (30 mins), Wed (30 mins), Fri (30 mins) OT - Monday (30 mins), T'ue (30 mins) Before 10/2013, the above will yield 5 days of therapy = RM With 'distinct days of therapy', it will actually...

  12. HELP! Lost OBRA assessment

    Talino replied to ibtootie's topic in MDS Coordinator Information

    You may want to call you state RAI coordinator first for guidance. Since it was already encoded into your sytem (the common working file can prove it), you can go ahead and submit. Do not alter...

  13. How do you handle insurance MDS transmissions?

    Talino replied to MDSismyjob's topic in MDS Coordinator Information

    You can "delete" (or remove) from the submission files if the MDS is not submitted yet. Once submitted and accepted you can only "inactivate". If A04410 = 1, you may not be able to pull the...

  14. Section M question

    Talino replied to harley1022's topic in MDS Coordinator Information

    If the management of a skin problem is attributed to a nutritional deficiency due to a lack of a particular Vitamin intake (preferrably substantiated by a clinical dietitian), then the Vitamin...

  15. Can you qualify med a for 5 days based on IV ABT during hospital stay?

    Talino replied to MystyDreamer's topic in MDS Coordinator Information

    This is commonly called in the industry as a "Presumption of Coverage". The details of which can be found in the Medicare Benefit Policy Manual Chapter 8 30.1 Administrative Level of Care Presumption...

  16. Combined admission and 5 day

    Talino replied to nursepilotdyna's topic in MDS Coordinator Information

    Since you won't be billing Medicare, you don't need to do

  17. ADL definitions Section G

    Talino replied to SitcomNurse's topic in MDS Coordinator Information

    Eating ADL Self-Performance involves only the actual delivery of food/beverage from receptacle to mouth (or other means). In your example, only “observed during meals” can be factored in. Hence,...

  18. medicare assessment

    Talino replied to graceRN67's topic in MDS Coordinator Information

    You're covered. More than likely it involved internal fixation (re-pinning). MD simply certifies skilled nursing observation for adverse reaction from surgery. Nurses notes documents presence/absence...

  19. medicare assessment

    Talino replied to graceRN67's topic in MDS Coordinator Information

    What type of surgery? 30.2.3 - Specific Examples of Some Skilled Nursing from

  20. Late Obra & Casper Reports

    Talino replied to Kristalyn08's topic in MDS Coordinator Information

    MDS 3.0 QUALITY MEASURE REPORTS

  21. Late Obra & Casper Reports

    Talino replied to Kristalyn08's topic in MDS Coordinator Information

    When an OBRA MDS is missed during a case mix collection period, the default pay rate will be applied. It is a flag for surveyors. When it becomes habitual and rampant then it is a major compliance...

  22. MDS Quiz

    Talino replied to J00ka's topic in MDS Coordinator Information

    There is no shortcut to this answer. The best way is to actually get an overview of what the MDS is asking for in Sections BCDEFGHIJKLMNOP. Only then will you get an idea on what to look for. Not...

  23. Entry date

    Talino replied to marjo1's topic in MDS Coordinator Information

    Temporary home visit of "at least one night" would mean the resident was out of facility overnight. If a resident leaves the building during the day and returns before midnight, it is not LOA. In...

  24. Entry date

    Talino replied to marjo1's topic in MDS Coordinator Information

    You don't need a DC and ReEntry tracking on a temporary home visit

  25. Question on the ambulation part of mds

    Talino replied to litbitblack's topic in MDS Coordinator Information

    Most dictionary defines "walk" "to proceed through, over, or upon at a moderate pace on foot; move by advancing the feet alternately so that there is always one foot on the ground in bipedal...