crazyforthis

crazyforthis

Trauma, Med/surg, CM, UM,

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All Content by crazyforthis

  1. Joint Commission Survey

    Yup, I know JC isn't something you normally see discussed on the MDS board since MDS is LTC specific. BUT... I work at a SNF hospital that is licensed under the same 'umbrella' as the Acute care/trauma hospital about a half mile away. Both are owned ...
  2. questions, questions

    Ugh! I think I have a question, lol... I am not sure though... getting so confused since the changes! If patient admits 9/19, starts PT 9/20 and has first ard (5 day) on 9/26 with a RUG of RMX, then has 14 day ard on 10/2 with a RUG again of RMX, 7 d...
  3. really?

    Question please... Mr X is a Medicare pt who admits 10/17 to our SNF and dc's back to acute hospital 10/27, he is then readmitted to our SNF on 10/28 and again dcs back to acute hospital 11/6, again he readmits to our SNF on 11/7 and you guessed it, ...
  4. Staffing? How many residents are you responsible for?

    I am the only MDS person in a SNF which averages about 40 patients. We have a case mix of about 18-20 Medicare and the rest are either Medicaid or other or non pay. We are Medicare ONLY certified. Our RN staff does the care planning in another electr...
  5. The '15 month' rule... more clarification please

    I need to just make sure I have this right... First of all I am in Texas, working at a skilled nursing hospital about an hour North of Austin. We are Medicare only certified. I am pretty new to the world of MDS but determined to eventually know it in...
  6. PT eval day count as missed day?

    scenario; Doc writes order for PT/OT eval on Thursday aftrenoon, patient gets eval'd for PT/OT on Friday which is day 16 of admit. Patient is eval'd only that day so we dont use those minutes, correct? Then as it is a weekend patient does not get any...
  7. Submission error- FATAL

    Hello again everyone, I have recived a 'FATAL' error # -3608a on a record. It was actually an entry notification for CMS. For whatever reason our MDS program sometimes defaults certain answers. In this case it defaulted to Section A #0310e. This is a...
  8. PT eval day count as missed day?

    Interesting question! I had thought you don't count the eval day if it was only an eval? We occassionally have a patient admitted Friday before noon, they usually get eval'd only Friday for PT/OT etc and might not start actual therapy services until ...
  9. Submission error- FATAL

    Thank you Andy... now since YOU are my Automation Director is there a different email I should use to send questions to you directly? If so can you email me with it to [email protected] please? Thanks also for clarifying... the previous MDS coor...
  10. inappropriately unlocked record, now what?

    Hello everyone! I need help with this one... have looked in RAI manual but this is not addressed unless I just missed it. A staff member here where I work was trying to help me but inputting some date into MDS. We have a patient that was admitted and...
  11. inappropriately unlocked record, now what?

    Hi Andy and Talino, Thank you for your help. Andy I AM in your state I believe, I am in Texas. The program we use for MDS is called VistaKeane or Keane Care. It does allow us to unlock records and change in after having already submitted and accepted...
  12. questions, questions

    Thank you, as I read what you said about the 30 day once again I realized I knew that, I just get so caught up in not doing enough! I appreciate it Talino
  13. 14 day vs DC vs COT.... lost here

    I am so lost on this one... Mr M admitted on 9/22/11, he is Medicare. His 5 day was actually done on 9/29/11. His 14 day was/is scheduled for 10/5/11. He discharged back to acute care hospital with bleeding issues on 10/4/11. Do I try to combine his ...
  14. PPS tracking form

    Andy, I just set up my first patient on this form and it is a dream so far! Thank you SO much! :yelclap:
  15. 14 day vs DC vs COT.... lost here

    Another question or clarification please... if Mr X is admitted10/7 and also evaluated for PT and OT sameday (a Friday) but therapy minutes are not started until Tuesday, does that mean he had a 3 day los w/o therapy and require anything special? My...
  16. 14 day vs DC vs COT.... lost here

    Also, since this patient missed therapy for medical reasons on 9/30, and the weekend of 10/1 and 10/2, no notes regarding 10/3 from therapy and as I said patinet was dc'd 10/4. Would I date a COT for 10/4 or go back to 10/1 or ? Does your MDS appl...
  17. PPS tracking form

    Hi Andy, I too would love a copy. Will it be posted in CMS somewhere when it is available? If so could you let us know where and when so you dont have 6 million requests to keep up with, please? If it is only able to be emailed then I would indeed li...
  18. How many COT's?

    banghead: hi pixie, i am too new at mds to give advice, even after being in it for 6 months, as someone on this board once said, i still feel brand new! i am going to soon look into classes even if on my own dime. i don’t ever like just doing things ...
  19. Skilled Therapy

    Hi Ya'll! In the world of nursing Skilled therapies can include any or all of PT, OT, ST, IV Abx, and RT (thinking newer trach here), correct? In the world of MDS is it only PT, OT, ST that are considered in the EOTs, EOTRs and COTs? I ask because ...
  20. Noc4senuf, "My medicare coordinator is an LPN and handles a 26 bed Rehab unit, which includes managed care, medicare and private pay. She is responsible for the MDS and RAPS, calling for coverage verification, working with managed care companies, giv...
  21. RNAC salary

    Geesh! I simply do not have an extra 62 minutes per week per patient to do this! Oh my stars, I don't think I am paid enough anymore for this job! In answer to your question, I live in the central Texas area and am paid appx $35 an hour. Before the n...
  22. Penalties for late Assessments?

    Hello. So glad I have found this forum! I am an Extreme newbie to anything related to MDS. Still wondering what I have gotten myself into. I am scheduled to take an MDS Bootcamp in May 2011 but in the meantime have many questions. So far I understand...
  23. MDS 3.0 & RAP---new CMS guideline on printing MDS's

    Thank you rukiddingme! This makes much more sense now. And gives me new thoughts to discuss with my DON!
  24. Who is your software vendor for 3.0?

    We use VistaKEANE, not sure what I think of it yet as am new to MDS and have never used any other application for it :)
  25. MDS 3.0 & RAP---new CMS guideline on printing MDS's

    Hello, I am brand NEW to MDS and to the skilled nursing facility I am now employed at. I have been an RN for many years but always in acute care and more recently in telephonic disease management, until now. I will be taking an MDS bootcamp training ...