disney158

So frustrated !! One of the places I work has a administrator who is really pushing the lmits of Medicare.. this goes beyone Ruging for Dollars, way into me thinking... "if this chart gets pulled for review Medicare will take back every last cent".....

I used to work in Pittsfield MA, so I also suffered thru thse audits, not a very fun job we have, so many people to please....so many people to teach to do the right thing....uggh...I just came to work depresseed already !

I'm glad I stumbled into this thread, in Jan. 2009 NY went to case mix for reimbursement based on MDS and I can't tell you how angry I am and annoyed, at one organization I work at. What a miracle that 75% of the Medicaid patients in this facility ...

You are so right and this whole thing is heart breaking. Now into the second attempt at the case mix upload for NYS reimbursement, I find that my MDS role seems to no longer be to get the best patient outcome but to get the best fiscial outcome. ...

I am all in agreement with the extra $ spent for the staff to do the work, but since we are salaried, we are expected just to get the job done, so , the facility believes they will win more $ in the long run pushing the slave/salaried mds workers g...

Yes, I have also joined that "crowd" the facility is so going for the big $" that I am doing extra Quartely's on every applicable state resident to up the score for Case Mix, ... and to top it off isn't it a miracle that these peopla are all of ...

That is my take on the subjecct, and thank god ,

I really feel comfortable that when I sign on R2B I sign that the MDs is complete, not that it is correect, I will not sign for the sections that I feel are inerror, as I said, I am siging R2B, and the way I read it , that is only indicating the M...

"they are recieving PT and OT, and they are only cut form OT, you must give a cut letter for the OT when it is cut. This is a new rule, and there is a special form for this." VeryBerryRn, can you site where this came from, and the special form I ...

I don't mean to sound ******, but, I told my supervisor about the opportunity of a grant for the facility, I worked on the grant paperwork endlessley for a month, took it home, aganoized over it , etc. Since it was the first grant I have ever tri...

Update : Did I also say that I also put in for the grant for my part time job at another SNF , and also GOT THE GRANT THERE TOO ! So, I have obtained almost $80,00 for 2 SNF"S which is more than my salary ! That facility has sent me a huge fl...

Thanks to all, this happened yesterday and I am waiting as I am too angry/hurt/annoyed to approach this topic with him. He is the administrator, young ( middle 30's been in the field for about 10 years, 2nd administrator role), very upwardly mobile...

What is it with some staff??!?!? Ho many times do they need to be told , "No cell phones on the floor"- I am so annoyed, actually had a CNA working ADL's with an alert resident talking to someone on her ear thing (can't rememer what they are called r...

Prioritize, delegate,...."any problems can be blamed on your predecessor?" ... I am perfectly okay with this statement, most times it is true... but fix those problems, first.. make a difference for positive change and you will be respected and ...

"before cell phones, IMO, there werent as many "emergencies" and if there were emergencies...they were made and recvd from the company phone" :yeah:I am so glad so many people think like I do ! I started the thread, and still am constantly embarras...

You do have manners and I carry a cell too, but can you believe someone would do this to a resident. And to top it all off , to get natsy to me when I told her not to use the Bluetooth ever on the floor, can you imagine what they can do to already...

I just remembered, is it Bluetooth ?

Nope, no-one... corporation is now purchased by a new owner, so we will see what happens, as we know, new owners sometimes "clean house" so i won't have to worry, maybe the administrator won't be there too long.. I can always hope....

I too am in NY and we too have all been to the same workshop, as if it isn't bad enough to do the calendar right, now we will be playing the "move the ard" game for NYS reimbursement also, I have some clincians who still can't get the right dates...

"he is as unscrupulus " His vision of this theory is that it is perfectly okay, even spoken about in all of the Medicare pushing the RUG dollars we have all gone to... indicating the system was set up by Medicare so why not use those rules to our a...

not yelling back either, but, i see the residents regulary during meals, activities, etc i did not count that time, as it is part of my overall day, seriously, with the computerization, i am not kidding, add in the time on the floor and it will ...

I am an RN in upstate NY, location and salary really do go hand in hand, and work at 2 SNF, full time one $29.5 hour, part itime job $32.00 hour (been there 10 years), at both I do all of the medicare assesments, calendars, schedules, Medicare Meeti...

I have been a MDS coordinator for 12 years, it really depends on the administrator to see your value and not send you to the floor as a "staffing accessory", has never happened to me at my curent job, which is why I am still here after 6 years, and ...

We have had Care Tracker for over 2 years and it is a life saver, I am sure the company will keep up with any changes to the MDS including conversion to 3.0

Have to say it and can only say it this way, that person is NUTS !!! For multiple reasons, some of the MDS questions are "expert opinions" not a data item like a height or weight and the arguments can go on forever !, for the sheer sake of time...