andy3k

andy3k

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All Content by andy3k

  1. ARD for annual

    andy3k replied to ejpip1's topic in MDS Coordinator Information

    You found the answer in Chapter 2, not Chapter 3, but yes, you are correct. Additionally ... Does the fact they were admitted to the hospital change the OBRA schedule? Not unless the scheduled OBRA...

  2. ARD for annual

    andy3k replied to ejpip1's topic in MDS Coordinator Information

    You are dealing with two separate requirements: 1. Resident went hospice, so sig change is required. 2. A comprehensive is due every 366 days. You have two choices which meet both requirements: 1. Set...

  3. MDS 3.0 Use of Dashes

    andy3k replied to andy3k's topic in MDS Coordinator Information

    dash = 'not

  4. Estimated or researched times to complete MDS 2.0 vs MDS 3.0

    andy3k replied to Softcrz's topic in MDS Coordinator Information

    I am sorry that I do not have any documented studies or times but I do have this much ... Carol Maher, a gold standard MDS 3.0 nurse, helped with the testing and timing of MDS 3.0. The CMS claim that...

  5. Correcting MDS Completion Dates/RN Assessment Signatures on Z0500

    andy3k replied to dorothyoz's topic in MDS Coordinator Information

    I agree with the part about the signatures but a modification is still necessary if the Z0500B in the electronic record does not match the paper record. For example, if the Z0500B was automatically...

  6. Correcting MDS Completion Dates/RN Assessment Signatures on Z0500

    andy3k replied to dorothyoz's topic in MDS Coordinator Information

    Scenario #2 Once the MDS is actually completed, modify the submitted MDS, complete Section X, update the MDS with correct information, and submit the correction. Z0500B If your software does not allow...

  7. Texas MDS for back payment

    andy3k replied to nursetammy63's topic in MDS Coordinator Information

    I will share the answer to your question, after which I will share some valuable MDS resources that Texas provides (great for new and experienced MDS coordinators alike). Purpose Code E, Off Cycle...

  8. Penalties for late Assessments?

    andy3k replied to crazyforthis's topic in MDS Coordinator Information

    What are the penalties for having such late assessments? For state surveys, you might get a tag. Greater chance of a tag if the offense is frequently repeated. Federal audits may have an issue with...

  9. case mixing with PPS/OBRA combined assessments

    andy3k replied to SMURPHYLPNRACCT's topic in MDS Coordinator Information

    Yes, or try contacting your state RAI or Technical Coordinator (Appendix B of the RAI Manual) to find

  10. case mixing with PPS/OBRA combined assessments

    andy3k replied to SMURPHYLPNRACCT's topic in MDS Coordinator Information

    In my state, no new assessment is needed unless, of course, the resident meets the criteria for Significant Change. But different states might have different Medicaid requirements and your state might...

  11. After 2 months..what do you think of the MDS 3.0?

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

    I'm familiar with the RAI requirements. My questions were of the "what recommendations could we make to CMS to improve the process?" variety. It is possibly a good meta-analysis topic for a grad...

  12. After 2 months..what do you think of the MDS 3.0?

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

    I understand the indignity of repeatedly proving to the resident that they can't do it. On the other hand, it must be balanced with the importance of recognizing positive and negative changes in their...

  13. MEDICARE HMO'S

    andy3k replied to ibtootie's topic in MDS Coordinator Information

    I had thought of Print & Delete but my coworker told me that sometimes you to resend an MDS at the HMO's request, make corrections due to entry or collection error, etc. and that takes more time...

  14. MEDICARE HMO'S

    andy3k replied to ibtootie's topic in MDS Coordinator Information

    "What is the appropriate eval for a patient with a Medicare HMO? PPS or OBRA?" If your state requires you to submit MDS for all residents then you must, of course, follow the standard OBRA...

  15. After 2 months..what do you think of the MDS 3.0?

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

    The good news is that CMS has said they are reviewing the discharge assessment due to the number of complaints. They are giving serious thought to decreasing the number of required items. They also...

  16. Discharge before 5-day assessment

    andy3k replied to 217shana's topic in MDS Coordinator Information

    CMS wants as much information as they can get for research. I can picture CMS saying, "If you get tired of putting dashes, feel free to collect real data." Having been on the data collection and...

  17. Forgotten Assessment

    andy3k replied to ibtootie's topic in MDS Coordinator Information

    If you perform a PPS assessment with an ARD earlier than the discharge date, but forget to enter it, then you can enter and submit it at any time (though it may be considered late). If you perform a...

  18. Combining assessment types

    andy3k replied to rukiddingme's topic in MDS Coordinator Information

    "So, if I have a resident with a Quarterly on 1/17/2011 and their 5 day PPS is for 1/18/2011, I still have to do two seperate assessments, right?" If the resident returned from the hospital within...

  19. ICF resident returns skilled for short term

    andy3k replied to brandnew2mdsrn's topic in MDS Coordinator Information

    Just to clarify the above answers, you do not complete a readmission/return PPS AND a 5-day. You do one or the other, as appropriate. The ONLY times you do an admission assessment are when the...

  20. After 2 months..what do you think of the MDS 3.0?

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

    evalesco, do you have any idea who wrote the MDS "night before christmas" poem or who I can contact to track them down? I'd like to put it into a publication and attribute it to the correct author....

  21. MDS 3.0 Provider User's Guide available

    andy3k posted a topic in MDS Coordinator Information

    For those who might not be aware, the MDS 3.0 Provider User's Guide is available at https://www.qtso.com/mds30.html. Table of Contents includes these important chapters: Chapter 3 - Functionality (how...

  22. MDS 3.0 Certification

    andy3k replied to CapeCodMermaid's topic in MDS Coordinator Information

    State level health care and nursing home associations (i.e. ??your state?? Health Care Association) sometimes offer classes. Visit their websites, usually under Education, for more

  23. MDS..Where do I start?

    andy3k replied to Reese17's topic in MDS Coordinator Information

    I recommend that you use your state RAI Coordinator (clinical questions about completing specific sections) and Automation Coordinator (technical questions about submitting data, validation errors...

  24. at what point can you NOT do an assessment?

    andy3k replied to crissrn27's topic in MDS Coordinator Information

    RAI Manual pg 3-30, first sentence, "When the resident dies or is discharged prior to the end of the observation period for a required assessment, the ARD must be adjusted to equal the discharge...

  25. MDS 3.0

    andy3k replied to Strawberry63's topic in MDS Coordinator Information

    In the MDS 3.0 Final Report posted on the CMS website, on page 71, I see the following: "MDS 3.0 was able to improve assessments and decrease time to complete. The average time to complete MDS 3.0 was...