TigerxLiLy

TigerxLiLy

LTC-Geriatric-PPS-MDS

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All Content by TigerxLiLy

  1. Non-Direct Care Staff

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    How big of a caseload for PPS do you have? How do you manage reviewing therapy notes and ensuring therapy is meeting/upgrading goals as IDT plans?(im constantly having to ask them to upgrade goals...

  2. No meds on 11-7

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    My proposal is no charting except as needed/emergent/prns(all medicare A/B and medicaid charting on 7-3/3-11), no scheduled txs (may have to do a PRN cant rule it out), no scheduled meds. The only...

  3. No meds on 11-7

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Regulation is "No more then 14hrs between evening meal and breakfast, 16hrs are allotted if they are provided with documented HS snacks." Our dietary directors statement: "if we moved breakfast to 8-9...

  4. No meds on 11-7

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    ....wonder why breakfast is always considered to be a 7am thing...good

  5. No meds on 11-7

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    I was thinking maybe the "Empty" stomach could be 4pm.. but I guess you run the "risk and probability"the patient had a snack at the activities? Our new MD director has drastically reduced our CBG...

  6. No meds on 11-7

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Addendum: Trying arrange the nursing staff to add 1 extra nurse to 7-3/3-11... we currently have 4 each on 7-3/3-11 and 3 on 11-7(with lots of Meds on 11-7 med pass that could probably

  7. Dx of Brain Ca for MCR A

    TigerxLiLy posted a topic in MDS Coordinator Information

    Are you guys finding that the Dx of Brain Ca in the elderly is condeming then to Hospice? No matter if the patient is CgA x 1 with aDLs to total assist but still showing progress in therapy... Have a...

  8. Dx of Brain Ca for MCR A

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    I say hospice because the first solution from the appeals processor was "well, if the family cannot afford to stay with you guys and cannot provide the assistance needed- then there is always...

  9. No vacation! worn out-- how do you guys do it?!

    TigerxLiLy posted a topic in MDS Coordinator Information

    How do you guys manage?!? I have been in this position for 3 years. First 2 years were "Ok" only got one week of actual vacation ( first year i didnt know i couldnt sell my vacation because company...

  10. How does your facility do the following:

    TigerxLiLy posted a topic in Geriatric, LTC

    1. Do Oxygen change over and MAR change over? (Our facility has managers doing both-- but when the managers get pulled to the floor both get neglected or pilled onto other managers) 2. How does PRN...

  11. How does your facility do the following:

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Guess I havnt seen the words "Part-Time" in ages and just thought PRN. I see now tho! :) Im trying to think of Ideas to present to my New DON on how to improve a system that has been broken for a very...

  12. Admissions people

    TigerxLiLy replied to CapeCodMermaid's topic in Geriatric, LTC

    Sadly our admissions coordinator IS a nurse... and still makes the same decisions and does not "Consult" with MDS (to do a PAS prior to admissionfor MCd or for PPS to observe for skilled services)...

  13. Medicare denials

    TigerxLiLy replied to nurseamy25's topic in MDS Coordinator Information

    Each state may have a different RAC audit reviewer too-- so yours may not be Connolly-- but you should be able to out who urs is via your audit request or through the CMS

  14. Medicare denials

    TigerxLiLy replied to nurseamy25's topic in MDS Coordinator Information

    Im thinking its all about scores, if they are psych related, what the DX codes

  15. Medicare denials

    TigerxLiLy replied to nurseamy25's topic in MDS Coordinator Information

    Im finding most ours are Psych... BTW-- did you guys know you can go to your RAC audit website? like for MS RAC audits are done by Connolly-- so you can go to Connolly.com -- and with your medicare...

  16. Documentation-- Who trains new nurses?

    TigerxLiLy posted a topic in Geriatric, LTC

    In your facilities--- Who trains new nurses how to document for Med A and Medicaid? Or just overall documentation? Our facility is leaving it up to the floor nurses and myself (PPS coordinator) and...

  17. Talino- help please! Question about setting ARD

    TigerxLiLy replied to BrookeJayneRN, DIT's topic in MDS Coordinator Information

    I love how the RAI manual can be interpreted a million different ways... My corporate heads say that as long as the assessment is open in the computer--- you can move the ARD anywhere in the window...

  18. Qualifying hospital stay

    TigerxLiLy posted a topic in MDS Coordinator Information

    Scenerio: Patient admitted to hospital already under hospice care with Dx CHF endstage and Endstage Cirrhosis.. The hospital D/C summary ( because supposedly the H&P was not ready per Medical...

  19. Qualifying hospital stay

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    the A/C believes she knows everything... barely consults anyone else. The DON only looks at the hospital info just to make sure theres nothing medically we cant handle (our DON has zero knowledge of...

  20. Qualifying hospital stay

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Ha! she mustve knew she wouldnve won cause she went home before the determination from QIO..interesting. I have been trying ti make my administrator and Admissions coordinator aware of the...

  21. Qualifying hospital stay

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Yeah- My corporate consultant said that it didnt seem like a qualifying stay either. I issued a ABN and now the patient is appealing..

  22. Qualifying hospital stay

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    They had a 3 day stay-- what im worried about does it follow this: In order to qualify for post-hospital extended care services, the individual must have been an inpatient of a hospital for a...

  23. Qualifying hospital stay

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    The patient is Able to perform all her own ADLS, Ambulates independantly without balance issues at this time as well... ( supposedly in the hospital she was dependant with all adls per progress notes...

  24. Therapy schedule

    TigerxLiLy posted a topic in MDS Coordinator Information

    Does your facility have scheduled therapy time? Like does therapy have a time set that they see each patient on Med A or is it random

  25. Therapy schedule

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    We have usually regular therapy staff with PRN fillers every once and a