andy3k

andy3k

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All Content by andy3k

  1. 1st CMS survey

    andy3k replied to crazyforthis's topic in MDS Coordinator Information

    That is inspirational. Thank you for sharing. Good for

  2. QM 11 ADL Decline

    andy3k replied to rdl2k9's topic in MDS Coordinator Information

    According to the MDS 3.0 QM Manual, below is the information about the nominator for "MDS 3.0 Measure (#0688): Percent of Residents Whose Need for Help with Activities of Daily Living Has Increased...

  3. Inactivation

    andy3k replied to sls73's topic in MDS Coordinator Information

    imkaren2, in post 9, you asked for confirmation of the rule that on or before discharge, you have to set the ARD for a day in the window. If the resident unexpectedly discharges, you can move the ARD...

  4. Inactivation

    andy3k replied to sls73's topic in MDS Coordinator Information

    Clarification on Adjusting the ARD for a Scheduled Medicare MDS Centers for Medicare and Medicaid Services (CMS) staff have clarified that when a resident on a Medicare Part A stay is discharged,...

  5. Inactivation

    andy3k replied to sls73's topic in MDS Coordinator Information

    And a reminder that setting the ARD requires that it be documented on an official MDS form, paper or electronic, along with enough information to identify the resident and assessment e.g. SSN and...

  6. Inactivation

    andy3k replied to sls73's topic in MDS Coordinator Information

    Regarding the default for SCSA/5-day: CMS staff responded that this is not a glitch but simply CMS following Medicare billing guidelines and the effect of combining a SCSA with a PPS 5-day or...

  7. I'll be serving whine at my pity party

    andy3k replied to jadedjane's topic in General Nursing

    I receive emails from nurses across my state every day. I assure you that spelling and grammar are not at the top of anyone's list, at least in an everyday setting. *grin* Yes, mistakes in a resume...

  8. MDS newbie and frustrated too....

    andy3k replied to 1964nurse's topic in MDS Coordinator Information

    I encourage you to use your state MDS RAI and Automation coordinators as resources. You can find their email addresses in Appendix B of the RAI Manual. Some states have email lists for distributing...

  9. Clarifications to March 2012 National Provider Conference presentation

    andy3k posted a topic in MDS Coordinator Information

    Important document: Clarifications to March 2012 National Provider Conference presentation at https://www.cms.gov/SNFPPS/03_RUGIVEdu12.asp. CMS is putting out an email blast which will state the...

  10. 1st Nursing Cartoon caption contest - win $100

    andy3k replied to Brian's topic in Nurses Rock

    "I know they'll grab just about anyone to cover a shift on the floor, but THIS is

  11. Assessment help please

    andy3k replied to crazyforthis's topic in MDS Coordinator Information

    The admission is completed on 1/18 so an SCSA for a 1/20 hospice admit is appropriate since it will be completed after the admission. An SCSA is required for a hospice admit. Unless there is a caveat...

  12. Assessment help please

    andy3k replied to crazyforthis's topic in MDS Coordinator Information

    In addition to Talino's suggestions, I add: "A SCSA is required to be performed when a terminally ill resident enrolls in a hospice program (Medicare Hospice or other structured hospice) and remains a...

  13. Is AANAC certification worth it?

    andy3k replied to lvnlrn's topic in MDS Coordinator Information

    wannabe2008, I am sorry to hear about your experience AANAC. This email takes a tangent based on something you said. You do not have to purchase the RAI Manual. It available for free on the CMS...

  14. I'm Sooo Confused

    andy3k replied to Emily0's topic in MDS Coordinator Information

    It is usually a good idea, if you have any questions or lingering doubts related to MDS, to contact your state MDS RAI or automation coordinator. It is their sole job to educate facilities (and...

  15. Change is in the Air - Avatars; Polls

    andy3k replied to Brian's topic in News, Announcements

    I tried uploading my own avatar and it is not working. The avatar is 100 x 125 jpg. The message I get is: Something Went Wrong Unable to save

  16. Joint Commission Survey

    andy3k replied to crazyforthis's topic in MDS Coordinator Information

    MDS 3.0 QM Reports will not be available until April 2012 according to

  17. Several missed mds, which am I responsible for?

    andy3k replied to SunshineANDgiggles's topic in MDS Coordinator Information

    Catching up on MDS is only required IF the new owner assumes assets and liabilities of the prior owner. If it is a CHange of OWnership (CHOW) without assignment: Both the CCN and the NPI numbers...

  18. The '15 month' rule... more clarification please

    andy3k replied to crazyforthis's topic in MDS Coordinator Information

    RAI Manual, pg 2-6: "The Federal regulatory requirement at 42 CFR 483.20(d) requires nursing homes to maintain all resident assessments completed within the previous 15 months in the resident's active...

  19. PT eval day count as missed day?

    andy3k replied to kavdah's topic in MDS Coordinator Information

    All of these questions are very good and not as simple as they seem. The RAI Panel is currently discussing these issues. I'll let you know if hear something

  20. Submission error- FATAL

    andy3k replied to crazyforthis's topic in MDS Coordinator Information

    Questions like this can be directed to your state RAI or Automation Coordinator. That said, here is the answer. You cannot modify or inactivate an MDS that has not yet been accepted by CMS. You...

  21. inappropriately unlocked record, now what?

    andy3k replied to crazyforthis's topic in MDS Coordinator Information

    The rejection of the duplicate record is expected and good. A modification is not necessary. As long as the software version matches the CMS version, you are done. With regards to electronic vs paper...

  22. inappropriately unlocked record, now what?

    andy3k replied to crazyforthis's topic in MDS Coordinator Information

    To add to Talino's answer, it is important that the data in your MDS data entry software match the data that was originally submitted to CMS. 1. If you ever need to do a modification in the future,...

  23. Missed Therapy day

    andy3k replied to ibtootie's topic in MDS Coordinator Information

    PsychNurseWannaBe is correct, you only complete an SOT if there was an EOT and the resident did not qualify for an EOT-R. But assuming that was another mistype: Yes, you would evaluate a second COT at...

  24. Missed Therapy day

    andy3k replied to ibtootie's topic in MDS Coordinator Information

    An EOT is required if the resident misses 3 consecutive days of therapy (I assume you mistyped COT instead of EOT). Yes, since an EOT is not required in the situation above, the COT needs to be...

  25. PPS tracking form

    andy3k replied to miccay's topic in MDS Coordinator Information

    As a reminder, the PPS assessment calculator is attached to Post 29 and you can download it from there. You do not need me to email it to