dbsue1954

dbsue1954

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All Content by dbsue1954

  1. To code or not to code??

    We have a new admission post hip fracture admitted on the anticoagulation drug Xarelto.I am not sure if this is coded as an anticoagulant .Plavix is a non codeable anticoagulant and i am not sure about this one....my instincts tell me yes it codabl...
  2. To code or not to code??

    apparently palvix is not warfarin based and Xeralto is???
  3. To code or not to code??

    Found the answer...yes code it checked with rai coordinator at state and mds consultant....heparing/warfarin based CODE! could not get ahold of anyone earlier.calls returned after i posted!
  4. PPS tracking form

    Robin technologies has a tool available on line....put admission date and it shows the entire 100 day stay with grace days designated.It has made my life a lot easier!
  5. Is the 3.0 a nightmare?

    I agree with the previous comment. Actually i dreaded when 3.0 happened but after becoming familiar with it , it seems to flow better than 2.0 did. While it appears to be longer, there are so many skip patterns built in it it does not work out to be...
  6. can someone please tell me how I can skill a resident who is on comfort care?I have tried to look it up in Medicare guidelines but all I am finding is in reference to Hospice Care?! have had 2 residents recently who were skilled but condition decli...
  7. Thank you very much. for the record I agree with my therapy department. This is very helpful!!!
  8. MDS Team...Should it be decentralized?

    We have each discipline completing their own sections of the MDS and formulating and updating their own care plans. We have not seemed to have any problems with it. My team is really good about communicating any significant changes they discover whi...
  9. After 2 months..what do you think of the MDS 3.0?

    I have found that it is becoming a little easier as i work with it..other than software issues, it has gone pretty smoothly. the d/c assessments are a waste of time. I use ALOT of not assessed/dash fills when doing them and so far have seen no negat...
  10. Who is your software vendor for 3.0?

    we use accucare....very slow. When u call tech support.they tell you there are "18" calls ahead of you....have had a couple issues with missing info on the print out. have had 2 updates so far and another expected soon.
  11. MDS 3.0 Discharges

    use accucare too...and it is very slow. A new update from web this week should speed it up a little...the discharge assessments i have done have been alot of not assessed/no info due to emergency discharges. i am very upset about the amount of paper ...
  12. first full week working with 3.0!!!!!

    Well...it has been interesting..my advice is buy stock in the paper manufacturing companies......hard to believe that a 14 day pps assessment takes 38 pages. For those of us who are not computerized I forsee storage of said documents a real challe...
  13. patient is a pleasant lady who has diagnosis of alzheimer's. has had a major decline past few weeks. up until 6 a few weeks ago, was maintaining colostomy (old one) with nursing oversight/minimal assist. suddenly, she has begun removing colostomy...
  14. State audits of MDS

    here in indiana it is annual but they told me they have the option to come anytime. they are not strictly bound to annual.
  15. Physician orders section p8?

    just remember it is not the number of orders...number of days!!!this concept escaped me for a short while while learning this stuff!!!!!!!!
  16. EDS AUDIT

    hi....nw indiana here...eds audit done in dec. the surveyors disallowed one record on healing surgical wound (it was down to steristrips) because documentation did not provide a thorough enough description of wound ("steristrips intact ,edges wel...
  17. MDS 3.0 Delay?

    I am in indiana and asked my state coordinator this week when we could expect the training for 3.0.....she said she had tentatively scheduled training sessions thru out the state and then was notified that the "train the trainer"session she wa...
  18. Pressure relieving devices, etc

    My restorative hand me a sheet with the restorative miniutes to code . on this sheet they alos have any other extra "stuff" the resident is using. pressure mattress, bedside commode, wheelchair, gerichari, splints, oxygen ,etc. they track these thi...
  19. How do you get your MDS done?

    I ISSUE A CALENDAR FOR THE ENTIRE MONTH. I HAVE 58-60 RESIDENTS. CALENDAR IS ISSUED TO ALL DISCIPLINES INVOLVED. IF THERE ARE ANY CHANGES, I LET EVERYONE KNOW IN MORNING MEETING. WE HAVE CARE PLAN AND ALL OTHER MEETINGS ON THURSDAYS AND AT THE EN...
  20. ICD-9 codes

    THE ICD9 WEBSITE HELPS ME OUT ALOT. IT IS QUICKER AND EASIER TO FLIP SCREENS AND LOOK IT UP THAT WAY I THINK. I ALSO HAVE CREATED MY OWN LIST OF FREQUENTLY USED CODES, TOO. TRY THE WEBSITE AND SEE IF THAT HELPS SPEED THINGS UP A BIT. IT IS ALW...
  21. JUST HEARD OF IT FOR THE FIRST TIME TODAY. LOOKED AT THE WEBSITES,BUT WAS WONDERING IF ANYONE HAS HAD A PERSONAL EXPERIENCE WITH IT???THANKS
  22. Apparently It Is A Speciality Exercise/activity Program Which Is Rumored To Help Seniors With Balance/decreasing Falls......
  23. Coding Question

    Can Anyone Tell Me How/ Where To Code A Pac Morphine Pump On Mds Assessment Form???? It Is Not Iv.....thought About Coding As Injections For All 7 Days But That Does Not Seem Right Either. Help Please Thanks
  24. Coding Question

    The Answer Is..........rai Anual Page 3-179 Under Clarifications Count As Medication Under 01: Identify If New Med Under 02 And Code Only The Number Of Days That The Resident Actually Required A Subq Injection To Restart Pump.........you ...
  25. Coding Question

    ahhhhhh...that may be......sounds very logical. i will let you all know when i hear from state coordinator. but this answer makes the most sense....thanks!!!!!!!!!!!!!!!