ibtootie

ibtootie

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All Content by ibtootie

  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 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...

  13. 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...

  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...

  16. Joint Commission Survey

    ibtootie replied to crazyforthis's topic in MDS Coordinator Information

    Would that be in the Casper Reports? In Casper Reports there is a link MDS 3.0 QI/QM Reports-Under Construction. I saw that a few moments ago while printing my Validation Report, but it was

  17. need help

    ibtootie replied to ianadie's topic in MDS Coordinator Information

    Thanks Talino for the link. Still though, if you adhere to the script of the patient interview, it still seems to ask one sided questions. "Have you had ANY pain or hurting over the last 5 days?"...

  18. questions, questions

    ibtootie replied to crazyforthis's topic in MDS Coordinator Information

    It seems like it would have been simpler for everyone if CMS had just changed the rule to state that everyone receiving Medicare rehab services should have evaluations every seven days

  19. need help

    ibtootie replied to ianadie's topic in MDS Coordinator Information

    My facility has the same issue. When we get post-op patients or patients with infected wounds, I would expect that a resident will say they are having severe pain or 8 out of 10. The problem is that...

  20. How Beneficial is an AANAC Membership?

    ibtootie replied to flashpoint's topic in MDS Coordinator Information

    I recently joined AANAC, and have found that, even though the same information can be found on the CMS website, AANAC's information is far more user friendly and has less "government speak". I am the...

  21. Missed Therapy day

    ibtootie posted a topic in MDS Coordinator Information

    My understanding of the EOT/SOT/COT was that a COT was warranted if the Resident missed 3 consecutive days of therapy but I'm seeing that if the Resident is on only 1 Rehab discipline it would change...

  22. Missed Therapy day

    ibtootie replied to ibtootie's topic in MDS Coordinator Information

    Yes, I meant EOT, sorry, all the acronyms are starting to run together in my brain. So, in doing a COT because of the change in the RUG level, I will need to reassess in 7 days and do an

  23. Sot & eot before 5 day ard

    ibtootie posted a topic in MDS Coordinator Information

    Mr. X admits to SNF on 10/11 for IV Antibiotics for Osteomyelitis and foot amputation. Physical Therapy eval deems him too high level in function for PT, but OT determines need for ADL teaching. If...

  24. Sot & eot before 5 day ard

    ibtootie replied to ibtootie's topic in MDS Coordinator Information

    Therapy ended on day #4. Using day 5 as the ARD, He didn't have enough therapy minutes to get a rehab RUG, only CA1. I anticipate that his next RUG will be CA1

  25. Another COT question

    ibtootie replied to WM_84's topic in MDS Coordinator Information

    So, a COT is not needed if the RUG merely reflects increased therapy minutes as long as the Resident remains in the Rehab