edhcinc

edhcinc

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All Content by edhcinc

  1. Raps

    edhcinc replied to toicole's topic in MDS Coordinator Information

    In the "Location and Date of RAP Assessment Documentation" I would enter "See RAP Summary ____ (date)". In the RAP summary, I would then either WRITE a complete summary, or reference other parts of...

  2. ICD-9 coding on section I

    edhcinc replied to greenbean21's topic in MDS Coordinator Information

    Re: ICD9 coding-- V54.13 Aftercare for healing traumatic fracture of hip--is right if the joint was not replaced. If the joint was replaced, the codes are: V54.81 Aftercare following joint...

  3. Off Cycle Quarterly

    edhcinc replied to miccay's topic in MDS Coordinator Information

    Most software will not let you do more quarterlies than the MDS cycle allows--that is, a comprehensive followed by 3 quarterlies, comprehensive, etc. This sequencing is the basis for the software's...

  4. Pushing The Limit For $

    edhcinc replied to disney158's topic in MDS Coordinator Information

    This is a very interesting thread. Although there are no statements in the RAI Manual re: how close together OBRA assessments can be scheduled, it is clear that the schedule cycle SHOULD last...

  5. MDS training/job

    edhcinc replied to Karen Ann's topic in MDS Coordinator Information

    Hi. One way you MIGHT be able to get "on-hands" experience is to contact one of the "chain" corporate home offices (looks like Genesis and ManorCare have facilities in IA). Tell them your situation....

  6. Help With Supporting Documentation.

    edhcinc replied to gonenutz's topic in MDS Coordinator Information

    Have you discussed this with your administrator? Maybe he/she can help...it is a facility revenue issue if RUGS/PPS reimbursement does not meet

  7. Salary and responsibility of MDS coordinator/ Medicare case manager

    edhcinc replied to limarie's topic in MDS Coordinator Information

    Hi--sorry for this "tirade", it is NOT meant only for you... "...But I do have to tell you, that I very quickly and accuartely get MDS done, as we have Caretracker, med administration is...

  8. Significant Change

    edhcinc replied to toicole's topic in MDS Coordinator Information

    Hi--would beg to differ on this one... Although there may be NO difference in some areas of functioning, the RAI Manual, page 2-10, defines a significant change as this: A "significant change" is a...

  9. Would like your thoughts...

    edhcinc replied to nyteshade's topic in MDS Coordinator Information

    Follow your company employee handbook. Some facilities consider a registered nurse as a person who should give 30 days' notice, even if you are an hourly employee. Some states even include something...

  10. Section M

    edhcinc replied to toicole's topic in MDS Coordinator Information

    Perfectly understand your concern. However, the RAI Manual does not specifically exclude dialysis AV shunt sites. The difference is that a dialysis shunt is PLACED SURGICALLY--and, obviously, requires...

  11. Chemotherapy

    edhcinc replied to CapeCodMermaid's topic in MDS Coordinator Information

    You may also want to check that the chemotherapy is being billed by the provider using a HCPCS code that is excluded from MC PPS consolidated billing. Some more recent chemotherapeutic agents (or...

  12. Section M

    edhcinc replied to toicole's topic in MDS Coordinator Information

    RE: dialysis shunt site. This is surgically created. Therefore, it is possible that you could code: M4g. Surgical Wounds - Includes healing and non-healing, open or closed surgical incisions,...

  13. Icf Discharges

    edhcinc replied to OHIOGIRL08's topic in MDS Coordinator Information

    Hi--am not sure what you mean by "Medicaid pays by the quarter". But YES--the way you are doing your MDS assessments is correct for national/OBRA) requirements. If a (non-MC, non-Tricare,...

  14. MDS 3.0 Draft Final Version Jan. 15, 2008

    edhcinc replied to Talino's topic in MDS Coordinator Information

    Can't do "final" training YET. Although MOST of the items are finalized, the "lookback" time frames are still "under discussion", since the results from the STRIVE study still have to be considered....

  15. Therapy & Section P

    edhcinc replied to texasnurse46's topic in MDS Coordinator Information

    Hi--I think your basic question is whether or not a therapy can "claim" each day that the patient receives therapy for 15 or more minutes; if so, the answer is YES. If SLT, PT, and OT each treat the...

  16. Mds 3.0

    edhcinc replied to rukiddingme's topic in MDS Coordinator Information

    You, or other "helpers" will need to devise new ADL tracking tools, as the ADL definitions are somewhat changed--they are actually much clearer. Am sure there will be many MANY suggested tools as we...

  17. Going to start the AANAC RAC-CT class tomorrow...

    edhcinc replied to flashpoint's topic in MDS Coordinator Information

    Take full advantage of THIS forum, too! You will get the same quality answers, without spending a

  18. MDS 2.0 Deep Tissue Injury Coding & ulcer coding

    edhcinc posted a topic in MDS Coordinator Information

    At last week's SNF ODF, CMS discussed the following: On the MDS 2.0--currently there is NO WAY TO DOCUMENT AN UNSTAGEABLE PRESSURE ULCER (unless it has eschar) OR A SUSPECTED DEEP TISSUE INJURY...

  19. July Update: MDS 3.0 Implementation Timeline

    edhcinc replied to Talino's topic in MDS Coordinator Information

    For those of you who DID participate in the March 2008 informal "survey/questionnaire" (by AHCA) about RAPs for MDS 3.0--THANK YOU! We are FINALLY submitting our findings and recommendations to CMS....

  20. Anyone using Care Tracker and will it change with 3.0?

    edhcinc replied to mdsmadness's topic in MDS Coordinator Information

    It is sometimes difficult to be sure that professionals document, also! (except for the usual--treatments done, no SOB, no s/s hypoglycemia, blah, blah, blah...):omy: With Caretracker and with other...

  21. How Beneficial is an AANAC Membership?

    edhcinc replied to flashpoint's topic in MDS Coordinator Information

    It really depends what you are looking for. AANAC has no more information about the MDS or RAI process than is available to the general public on the CMS website--but the AANAC site does GUIDE its...

  22. Signing Assessments, is this wrong?

    edhcinc replied to mdsmadness's topic in MDS Coordinator Information

    Perhaps a review by all staff involved in the RAI process of RAI Manual pg. 1-24 and many parts of Chapter 2 is in order--have

  23. Signing Assessments, is this wrong?

    edhcinc replied to mdsmadness's topic in MDS Coordinator Information

    Hi--perhaps a review of the RAI Manual, pg. 1-24 and many items in Chapter 2, WITH ALL STAFF involved in the RAI process is in order...have

  24. how do you all ahndle signing the MDS?

    edhcinc replied to glm777's topic in MDS Coordinator Information

    In some ways you are right--if something works, why change it? Right now, most/many staff believe that the MDS has no real clinical value. So completing it days after the information was gathered,...

  25. how do you all ahndle signing the MDS?

    edhcinc replied to glm777's topic in MDS Coordinator Information

    Hi--another way to "legally" sign the printed MDS, if a printed copy is signed a few days after all have actually completed it, is to sign like this-- I. B. Busy, Activity Director, 7/5/08 for 6/30/08...