andy3k

andy3k

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All Content by andy3k

  1. LPN MDS coordinator course

    andy3k replied to KimPN's topic in MDS Coordinator Information

    Some states have a nursing act that requires comprehensive assessments to be done by RNs. In those states, the RN must perform the comprehensive assessment and sign complete. Quarterly and PPS/OMRA...

  2. V200C

    andy3k replied to nursepilotdyna's topic in MDS Coordinator Information

    Correct.

  3. Case Mix

    andy3k replied to donna17's topic in MDS Coordinator Information

    The RAI Manual says early assessments are allowed and does not define how early. Therefore, one day after an admission assessment, you could perform a quarterly or annual. The next day you could do...

  4. PPS tracking form

    andy3k replied to miccay's topic in MDS Coordinator Information

    Now I'm curious. If there is a PPS tracking form different from the MDS 3.0 PPS Assessment Calculator that is helpful to people then I would certainly like to see it. If someone has a copy then please...

  5. V200C

    andy3k replied to nursepilotdyna's topic in MDS Coordinator Information

    For clarification, The care plan must be completed no later than 7 days after the CAA Process completion date at V0200B2. The MDS completion date at Z0500B and the CAA Process completion date at...

  6. I'm drowning!

    andy3k replied to croppyRN's topic in MDS Coordinator Information

    Hello croppyRN, I'm sorry to hear about your situation. I can't help with the workload management issue but I can recommend resources for MDS help when your regional coordinator is busy. First and...

  7. Pending Denials Increasing?

    andy3k replied to bluegeegoo2's topic in MDS Coordinator Information

    I recommend you contact your state RAI Coordinator, Cheryl Shiffer, at 210.619.8010 to discuss MN

  8. V200C

    andy3k replied to nursepilotdyna's topic in MDS Coordinator Information

    MDS 3.0 RAI Manual, page V-6: V0200C2, Date The date on which a staff member completes the Care Planning Decision column (V0200A, Column B), which is done after the care plan is completed. Hope that...

  9. managed care and the mds

    andy3k replied to michmommylala's topic in MDS Coordinator Information

    I know that at least one software product DOES allow you to distinguish non-Part A PPS-like assessments, but I'm afraid I don't remember which one. If you happen to be on the market for software, ask...

  10. managed care and the mds

    andy3k replied to michmommylala's topic in MDS Coordinator Information

    ibtootie, you are correct. MDS completed for residents in certified beds require A0410=3. In Texas, residents in non-certified beds require

  11. managed care and the mds

    andy3k replied to michmommylala's topic in MDS Coordinator Information

    I found out from a colleague that CMS no longer endorses the following, "marking A0310B something other than 99 for a non-Part A record is incorrect, as well, since A0310B is for Medicare Part A PPS...

  12. managed care and the mds

    andy3k replied to michmommylala's topic in MDS Coordinator Information

    I confirm cwrnracct's post. Two weeks ago, CMS said exactly that on a conference call. CMS also has said in the past that marking A0310B something other than 99 for a non-Part A record is incorrect,...

  13. D/C Assessment

    andy3k replied to glm777's topic in MDS Coordinator Information

    The D/C is an OBRA assessment. However, a D/C can never be a "prior assessment" because the only MDS record that can follow a D/C is an entry tracking record. You can no longer set an ARD and complete...

  14. next quarterly

    andy3k replied to glm777's topic in MDS Coordinator Information

    And you only have 2 days after death/discharge in which to set the discharge/scheduled assessment ARD for the date of death/discharge (SNF PPS Clarifications Memo, March

  15. COT's

    andy3k replied to Dharriott's topic in MDS Coordinator Information

    I got ninja'ed by

  16. COT's

    andy3k replied to Dharriott's topic in MDS Coordinator Information

    RAI page 2-51: "Alternatively, the SNF may choose to combine the COT OMRA and scheduled assessment following the instructions discussed in Section 2.10." If the COT RUG would pay higher than the RUG...

  17. Need date help, and more..

    andy3k replied to SitcomNurse's topic in MDS Coordinator Information

    "Assessment Reference Date (ARD) refers to the last day of the observation (or “look back”) period that the assessment covers for the resident. Since a day begins at 12:00 a.m. and ends at 11:59...

  18. brand new MDS coordinator need your help

    andy3k replied to nicolegg's topic in MDS Coordinator Information

    The rules for setting a 14-day PPS assessment are in Chapter 2 of the MDS 3.0 RAI Manual under 14-day Assessment on page 2-46. I'd like to ensure that you have all of the information and resources you...

  19. Can you count therapy days when not on Medicare.

    andy3k replied to g8torlpn69's topic in MDS Coordinator Information

    Therapy days/minutes are included on the assessment, because the assessment must accurately show ALL conditions and treatments in the look-back, but the facility cannot bill any managed care days to...

  20. Medicare 5 day and 14 day, EOT, then restarted therapy - help!

    andy3k replied to wyogypsy's topic in MDS Coordinator Information

    I know that people should not combine a 5-day with an SOT unless it is a short stay, but I'm not sure if the SOT would be rejected if it was sent separately with a different ARD. Talino is correct...

  21. Medicare 5 day and 14 day, EOT, then restarted therapy - help!

    andy3k replied to wyogypsy's topic in MDS Coordinator Information

    I believe you are correct. An SOT is optional but necessary IF you want to start getting paid for therapy before the next scheduled assessment RUG starts paying. It would not have been necessary...

  22. Coding transfers (Hoyer)

    andy3k replied to wyogypsy's topic in MDS Coordinator Information

    The answer to your question is inside this article: . Evaluating Activities of Daily Living (ADLs) includes evaluating all the aspects of the ADL, defined on page G-2 of the RAIM3, as "ADL...

  23. MDS PPS and LTC Tools Needed

    andy3k replied to professional123's topic in MDS Coordinator Information

    Keep in mind that PPS scheduling got more complicated recently due to start and end of therapy, and especially change of therapy. If all you need are the main PPS assessments, and you have a separate...

  24. Medicaid reimbursement questions

    andy3k replied to nurse/momof3's topic in MDS Coordinator Information

    Your state MDS RAI Coordinator or Automation Coordinator (first choice) or state Medicaid agency (second choice) should be able to tell you exactly which CMI set is being used for Medicaid payment....

  25. Quality Measures

    andy3k replied to CapeCodMermaid's topic in MDS Coordinator Information

    If I had to depend for food on all the steak dinners I've been offered, I'd be starving.