Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Medicare coverage for end of life/pallative care when not hospice

    Talino replied to dbsue1954's topic in MDS Coordinator Information

    Did a physician document a "life expectancy of less than 6 months?" There is a very good reason the therapist is leary about providing therapy. Read all the conditions here p28-29 necessitating need...

  2. assessments

    Talino replied to MISTIE06's topic in MDS Coordinator Information

    Assuming there are 14 Med A benefit days available, the Return/Readmission will pay until 5/8 so there is no need for another PPS assm't. If an OBRA MDS is due or a Sig. Change had occurred complete...

  3. Restraint or enabler, that is the question!!

    Talino replied to silverbat's topic in MDS Coordinator Information

    1 - enabler 2 - neither 3 - neither Regardless the effect, a facility should have a policy in place with the IDCP team involvement. This is is an excellent Device Decision Tool and Care Planning Guide...

  4. Not OBRA after all

    Talino replied to ibtootie's topic in MDS Coordinator Information

    There is no need to make a correction. You meet the "exception" to the rule of Missed Assessment (see RAI p 6-54) Use the RUG category generated by the OBRA Adm MDS using the same HIPPS code 60 to...

  5. Eot during first 14 days

    Talino replied to ibtootie's topic in MDS Coordinator Information

    If the 5-day RUG is non-Rehab, no need for the EOT. The SOT/14-day will be paid from day of therapy re-eval (2/8) If it's a Rehab RUG, there are two possible options depending on the resident's...

  6. Skilled services

    Talino replied to iheartangelinajolie's topic in MDS Coordinator Information

    Some examples of direct skilled nursing services are: Intravenous or intramuscular injections and intravenous feeding; Enteral feeding that comprises at least 26 percent of daily calorie requirements...

  7. Need help on a 9 month old issue!

    Talino replied to ibtootie's topic in MDS Coordinator Information

    MDS 3/20 – Entry (valid) 3/26 – 5-Day (valid) 3/26 – DC tracking (invalid) 3/28 – Reentry tracking (invalid) 4/4 – 5-Day, should be Readm/Return (invalid) 4/14 – 14-Day (invalid) 4/28 –...

  8. Midnight rule

    Talino replied to keh67's topic in MDS Coordinator Information

    The Midnight rule exception - 40.3.5 - Determine Utilization on Day of Discharge, Death, or Day Beginning a Leave of Absence RAI, p2-70 Resident Expires Before or On the Eighth Day of SNF

  9. ENTRY DATE

    Talino replied to marjo1's topic in MDS Coordinator Information

    If you're completing MDS in hardcopy, yes. If you're completing the MDS electronically, most paid softwares auto-fill these fields in default on subsequent assm'ts. Even if resident was not discharged...

  10. ENTRY DATE

    Talino replied to marjo1's topic in MDS Coordinator Information

    What you do with the date changes in your system is but a facility practice. It has nothing to do with MDS's Entry Date. Entry Date defined, Appendix A-6... Suffice it to say, if there is no...

  11. COT's

    Talino replied to Dharriott's topic in MDS Coordinator Information

    It has to do w/ the start of the payment period. If the COT ARD is Dec. 7, RUG payment of the COT begins on Dec. 1st (day 1 of COT) and will extend to the end of the payment period of the combined...

  12. Section G (Range of motion)

    Talino replied to iheartangelinajolie's topic in MDS Coordinator Information

    According to the RAI G-31, "This item is coded in terms of function and risk of injury, not by diagnosis or lack of a limb or digit." In which case, code 0 Hence, code 2 Yes. See G-31 last...

  13. coding antibiotics

    Talino replied to glm777's topic in MDS Coordinator Information

    The RAI does not specify which classes of antibiotics to include or exclude. Thus, if a drug is ordered by the MD specifically to inhibit or destroy the growth of a microorganism, then it is an...

  14. Need date help, and more..

    Talino replied to SitcomNurse's topic in MDS Coordinator Information

    If this is not a PPS assm't, this is a viable approach ('tho opened to interpretation). Use the actual ARD it was due but complete and sign today's date (attesting all info entered was derived from...

  15. Medicare 5 day and 14 day, EOT, then restarted therapy - help!

    Talino replied to wyogypsy's topic in MDS Coordinator Information

    If you're capturing a Rehab RUG w/ the 5-day, the SOT is not necessary since the therapy rate will be paid from day 1 of the resumed SNF stay. The SOT will only be

  16. Skip Day

    Talino replied to returnexpected's topic in MDS Coordinator Information

    No, do not make any correction. Like I said above if your ARD was indeed early you will only lose a day of the actual RUG rate. If there is an upcoming PPS assm't, apply the skip day then. If you...

  17. Skip Day

    Talino replied to returnexpected's topic in MDS Coordinator Information

    There is nothing you can do (or should do) once it's submitted. As long as the succeeding PPS' ARD fell within the adjusted window, you should be fine. Worst case scenario the ARD was scheduled 1 day...

  18. Rookie mistake, Help!!!

    Talino replied to VBRNJD99's topic in MDS Coordinator Information

    Once the assessment is accepted, you cannot submit a correction to modify the ARD. You can only inactivate. If today's date is still within the ARD window of the PPS assm't and will allow you to...

  19. Rookie mistake, Help!!!

    Talino replied to VBRNJD99's topic in MDS Coordinator Information

    What was the RUG score when you submitted it? "played w/ ARD a few times" - Were they still within the acceptable ARD window (incldg. grace days) when they did that? Who signed Z0500? Not totally your...

  20. 48 or 72 hours

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    https://allnurses.com/mds-coordinator-information/regs-being-seen-684110.html#post6233536

  21. Nursing skilling

    Talino replied to TigerxLiLy's topic in MDS Coordinator Information

    http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/bp102c08.pdf p25 30.2.3.2 - Observation and Assessment of Patient's

  22. Physician certiication for medicare

    Talino replied to donna17's topic in MDS Coordinator Information

    40 - Certification and Recertification by Physicians for Extended Care Services http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/ge101c04.pdf see the guideline, from p12...

  23. Medicaid reimbursement questions

    Talino replied to nurse/momof3's topic in MDS Coordinator Information

    Only the most recent OBRA-required MDS (stand-alone or combined) is captured in the Medicaid case

  24. Resumption of Medicare A Benefits here?

    Talino replied to jlottRN's topic in MDS Coordinator Information

    Since the new generalized weakness and gait abnormality is the result of a new condition (fracture), you technically cannot resume Med A. The resident would require a new 3-day hospital stay and...

  25. Resumption of Medicare A Benefits here?

    Talino replied to jlottRN's topic in MDS Coordinator Information

    medicare benefit policy manual chapter 8 - coverage of extended care services p.4 the therapies initially received were due to deconditioning related to the management of cellulitis. since the...