ibtootie

Latest Activity

1. ADLs

   ibtootie posted a topic in MDS Coordinator Information

   First I just need to blow my stack that no matter how much I instruct and educate the Unit Assistants on ADL documentation, they still either don't get it or don't care to get it. No matter how much...

2. CNA ADL training

   ibtootie replied to nikkibobicky's topic in MDS Coordinator Information

   At my facility I do an orientation with the CNA's and participate in the Daily Huddles to pass along tips and pointers for accurate documentation. The SNF CNA's are for the most part accurate in...

3. Does Midnight Rule exception apply if Resident leaves AMA?

   ibtootie posted a topic in MDS Coordinator Information

   Generally, the day of discharge, death, or a day on which a patient begins a leave of absence, is not counted as a utilization day. (See the Medicare Benefit Policy Manual, Chapter 3, "Duration of...

4. HELP! Lost OBRA assessment

   ibtootie posted a topic in MDS Coordinator Information

   In May of this year my computer was exposed to a freak power surge that crashed all of my data drives, causing me to completely lose everything pertaining to jRAVEN, (the system we use) along with any...

5. Not OBRA after all

   ibtootie posted a topic in MDS Coordinator Information

   Resident admitted 2/13 for wound care for an ORIF wound infection and IV antibiotics. Injury was presented as work related even though the resident has MCR, and the claims adjuster preauth'd his SNF...

6. Eot during first 14 days

   ibtootie posted a topic in MDS Coordinator Information

   Resident admitted on 1/3/13 and 5 day ARD set for 2/7/13 (Day 8). The doctor put resident on 3 days of bedrest 2/5, 2/6, and 2/7 (days 7, 8, & 9) and therapy resumed 2/8 (day 10). Does an EOT...

7. managed care and the mds

   ibtootie replied to michmommylala's topic in MDS Coordinator Information

   So if I understand this correctly A0410 pertains to the certified beds, and not the payor? All of my beds are Medicare beds, no Medicaid beds, so I should be answering A0410=3 regardless of the payor...

8. Need help on a 9 month old issue!

   ibtootie posted a topic in MDS Coordinator Information

   I need some help on this one since it is just found 9 months after the resident admitted and discharged. Mr. X admitted to our facility 3/20/12 for IV antibiotics for a post-op wound infection. On...

9. How Many MDS Assessments Per Month

   ibtootie posted a topic in MDS Coordinator Information

   I'm curious to know how many PPS MDS evals (all combined) everyone else submits per month. I'm trying to figure out if I am on track, or if I need to speed up. I am at a hospital based SNF -not...

10. how do I change an MDS assessments for Insurance?

    ibtootie replied to crazyforthis's topic in MDS Coordinator Information

    Can you set the ARD date for OBRA NC assessments before day 14? For some reason I thought the ARD date was set at day 14 unless the resident discharged prior to day

11. can my DON force me to work the floor?

    ibtootie replied to glm777's topic in MDS Coordinator Information

    Does Safe Harbor apply to

12. MDS Software Compare

    ibtootie replied to ibtootie's topic in MDS Coordinator Information

    That's my main complaint too. It would be great to be able to make changes without deleting everything and starting over. I thought that the changes could be made when the program first came out, but...

13. MDS Software Compare

    ibtootie posted a topic in MDS Coordinator Information

    My facility currently uses jRAVEN. When I started they were using RAVEN, so I have never had any other software to compare it to. I'd like to hear from others who have used jRAVEN and how it...

14. RUG for a 36 hr stay

    ibtootie posted a topic in MDS Coordinator Information

    Resident admits from acute care on 11/5 and transferred back to acute care within 36 hrs. I completed NT and ND with A0310F=11-DC with return anticipated. She returned from acute care back to SNF...

15. ADL coding examples

    ibtootie replied to kcgardens's topic in MDS Coordinator Information

    I have started doing inservices and have reoriented each CNA at least three times, but still find the same errors over and over from the older CNA's. I haven't found any material to cite specific...