Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Waiver

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    The waiver is a one time use. If this is the first time, there must be a wellness period (non-skilled) after exhausting benefits. If skilled level of care continued after exhaustion, the waiver can...

  2. PDPM ARD

    Talino replied to glm777's topic in MDS Coordinator Information

    Bill the default rate for 3

  3. Surgical wound care

    Talino replied to GenaP's topic in MDS Coordinator Information

    A surgical wound usually heals in less than 10 days unless comorbidities complicate the process. The MBPM Chapter 8 p33 specifies a prescribed dressing and aseptic techniques as a skilled service....

  4. CMS form 672 and survey readiness (long)

    Talino replied to glm777's topic in MDS Coordinator Information

    You are correct to check the matrix manually and regularly and remove what flagged items do not apply. MDS software programs conduct logic tests based on CMS specs. The provider has to document...

  5. Totally Dependent For Positioning

    Talino replied to glm777's topic in MDS Coordinator Information

    Total. No physical exertion from resident transpired during the actual position

  6. admitted from...2 questions

    Talino replied to glm777's topic in MDS Coordinator Information

    1. Hospital, even when admitted directly from the ER. 2. Hospice at home is

  7. MDS Submission

    Talino replied to Carli's topic in MDS Coordinator Information

    When the MDS had already been accepted, the resubmitted one will be rejected. Review the validation reports after every submission. It will show the status of each submitted MDS - accepted, rejected,...

  8. Medicare days calculator

    Talino replied to 410rn's topic in MDS Coordinator Information

    Are you referring to the former calculator that shows due dates for 14, 30, 60,

  9. coding communication

    Talino replied to glm777's topic in MDS Coordinator Information

    Sometimes. The answers, not all, seemed

  10. Significant change assessment

    Talino replied to Liza22's topic in MDS Coordinator Information

    Try to look into other areas that may contribute to the new pressure injury - change in nutrition status, ADL decline, increased incontinence, exacerbation of a clinical condition / comorbidities....

  11. ICD10

    Talino replied to Liza22's topic in MDS Coordinator Information

    S72.142D

  12. CAAs and care plans

    Talino replied to glm777's topic in MDS Coordinator Information

    Being the new kid in the block where ignorance is bliss, I can emphatize. I would probably start by printing the triggered CAA worksheet and share with the DON or care planner, seek their insight on...

  13. Diagnosis Sheet/Covid

    Talino replied to Liza22's topic in MDS Coordinator Information

    The primary diagnosis should be the main reason for skilled service. If a patient is initially admitted after a hip fracture and requires skilled therapy, the occurence of COVID during his stay does...

  14. payor source on discharge

    Talino replied to 410rn's topic in MDS Coordinator Information

    If Medicare was the primary prior and Medicaid would have been on day of discharge, select Medicare. The day of discharge is a non-billable day, hence, no payer is evidently responsible. For tracking...

  15. COS after MLOA

    Talino replied to glm777's topic in MDS Coordinator Information

    You have up to 14 days to complete an MDS on reentry. If you forgo the quarterly, the SCSA will still need to be completed within 14 days of

  16. Skilled Wound Care

    Talino replied to GenaP's topic in MDS Coordinator Information

    Examples in Medicare Benefit Policy Manual Chapter 8 p33 Hence, a wound care must

  17. Section I0020 for OBRA only

    Talino replied to glm777's topic in MDS Coordinator Information

    I0200 only applies on Medicare type assm’ts. It is skipped in OBRA. Nonetheless, the primary as documented elsewhere, should be the diagnosis that requires the most care the resident

  18. Interviews when working remotely

    Talino replied to glm777's topic in MDS Coordinator Information

    Interviews, with proper training, can be conducted by any qualified in-house staff. Some facilities have adapted to conduct all interviews by one person in one intercourse. Video conferencing is...

  19. Expired on day of Admission

    Talino replied to GenaP's topic in MDS Coordinator Information

    You get paid for the day. Complete a 5-day and End of PPS part A stay. You only don't get paid if discharged to a hospital or another

  20. Quality measure question

    Talino replied to glm777's topic in MDS Coordinator Information

    Self-performance only of the 4 late loss ADLs

  21. COS due to coming off of Hospice services

    Talino replied to glm777's topic in MDS Coordinator Information

    Regardless if received only once, twice, daily, ongoing or discontinued but within 14 days,

  22. Modification-- interview sections

    Talino replied to GenaP's topic in MDS Coordinator Information

    If it’s entered incorrectly, you can. If the interviewee acknowledges that the original reply was incorrect, you also can. It’s always good practice to document reason for

  23. Care planning meeting

    Talino replied to glm777's topic in MDS Coordinator Information

    It's at the facility's discretion call it any title. I'd name it Discharge Planning. As defined Appendix PP, p220 ”A process that generally begins on admission and involves...

  24. CNA coding and QMs

    Talino replied to glm777's topic in MDS Coordinator Information

    It can't be a one-man role. DON and staff ED should definitely be involved. Let the regional team know that the matter is already brought up to the attention of the Nursing Admin and beyond your...

  25. Interrupted stay

    Talino replied to MDSRN15's topic in MDS Coordinator Information

    Entry - 3/14 A0310F = DCRA Unplanned 3/15 A0310G1 = Yes A0310H = No ReEntry - 3/17 5D - Choose ARD between 3/17 -