edhcinc

edhcinc

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  1. matching dates

    "They" don't have to make any decision--either pick up your office RAI Manual, or go to the CMS site to download the manual. You can easily find the answer "they"
  2. Pushing The Limit For $

    Definitely! However, this and other "threads" discuss completion of multiple QUARTERLIES as OFDA--O ther F acility D esired A ssessment--not for OBRA or state REQUIRED purposes--to reach a higher...
  3. Pushing The Limit For $

    Hi! The MDS 3.0 RAI Manual makes it very clear that a quarterly is a quarterly is a quarterly. So one early quarterly COULD be okay. But not 8 quarterlies in a year. The pattern is comp, qtrly, qtrly,...
  4. :twocents: Tis funny--the MDS, itself, can be completed by any healthcare worker who is trained to complete it. It's up to the facility to decide who is qualified. If so, is it truly an "assessment"?...
  5. CCM gave excellent advice--here's a little more... Don't do anything illegal. There are 2 possible ways to "correct" 18 PPS MDS "due" for December and any showing up as "due" for January/February. In...
  6. New mds nurse in trouble?!

    "In trouble" or out of compliance??? Medicare regulations require that an assessment used to set MC payment must be transmitted and accepted into the state (in October the CMS) data base (with very...
  7. unless the "certifying" agency/organization is also the regulatory agency, the most important "fact" you should get out of an mds fortification (or certification) course is-- the prime, or premier,...
  8. hi. cms is hoping to have web-based training available for all at no cost before mds 3.0 is implemented (unlike 2.0 that took ?4 years). maybe now's the time to get an ehr in place--let admin know!...
  9. ADL care plan

    How in the world did we get to where ONE NURSE (who is not even responsible for the care of any residents) has been assigned (and accepted) the responsibility for "doing" (and I guess implementing,...
  10. ADL care plan

    each nurse is responsible for his/own nursing practice. neither my license nor regulations about my scope of practice mention a professional responsibility of or for the "care of surveys", "care of...
  11. ADL care plan

    Hi. Comments-- A "problem" statement describes the the root cause of signs/symptoms/performance that are problematic to the patient/client/resident in one or more areas of functioning, thought, mood,...
  12. CP meeting invites

    Hi--sometimes we need to question WHO is telling you and WHY (?Regulation? Interpretive guidelines?) Find the STATE OPERATIONS MANUAL. The Resident's right to participate in care planning (and direct...
  13. Resisting care

    Hi-- RE: RESISTING--please be sure that she is RESISTING (meaning that she is NOT CAPABLE of making decisions, and that a surrogate has made decisions regarding her care plan) not MAKING THE DECISION...
  14. Maybe it is not the DN or Administrator who need to de-fog their view... "BEST reimbursement" and "quality indicators ... ALL GOOD"? ACCURACY is not in the eye of the beholder---it just
  15. Readmission Scenario

    hi. medicaid is the payer of last resort. as stated by capecodmermaid, medicaid will not pay for day 1 if also eligible for mc a and patient was in a mc certified bed. you do not need an order "to...
  16. MDS QUESTIONS

    hi. as talino said, perhaps you can set the ard so that you will not "capture" the fecal impaction. or perhaps you can spend hours as you relentlessly try to prove that a fecal impaction is not an...
  17. MDS subacute care

    hi, again, moogie! at least it's not yet a nexium® moment!! since you say that you will be "the assistant", it may be worth your while to find out what this truly means, and how responsibilities...
  18. MDS subacute care

    Hi. Whether or not this job is "doable" or frustrating/stressful, depends on many factors: Job description--whether or not job is ONLY MDS coordination, completion, and transmission OR also includes...
  19. too specific or not specific enough?

    hi. you did not "get a ding"--somehow your facility and many many others confuse day-to-day assessment, documentation, and notification responsibilities with "program" responsibilities. why is the...
  20. Hi. Maybe I'm just not reading this right...but the question and responses seem to say that we write care plans based on what we think the state surveyors will look for, not based on actual resident...
  21. skilling after a G-tube

    hi! re: "...if you continue to remain in snf bed and recieve a (daily) skilled service with no 60 day spell of wellness, you don't get a new medicare period" correct if a person has no daily...
  22. skilling after a G-tube

    hi--please see this thread--info and references.
  23. Hi. (do not mean to "scream" with the CAPITALS or bold below...) RE: primary TF or other examples we've run into: SP cath, chronic wound care, etc.,(which they've used up 100-days) SP cath IS NOT...
  24. OMRA

    and we all have something to "look forward to" in 2010!! with mds 3.0, we get to do an omra when therapy starts (as well as when it ends)!! lucky us!! if a patient is medically unstable, i really...
  25. care plan notices

    wow!!! 50% or more!! tis good to know that your processes do work!! truly, that is a great