imkaren2

imkaren2 has 21 years experience and specializes in MDS/Medicare.

Latest Activity

1. Medicare coverage for end of life/pallative care when not hospice

   imkaren2 replied to dbsue1954's topic in MDS

   I would consider keeping the patient on skilled also to prevent/manage skin issues, pain, physical and/or emotional, to name a few.

2. Inactivation

   imkaren2 replied to sls73's topic in MDS

   yes, thats exactly what the RAI says, I didn't have my hands on it at the time but knew that...so my question was how are other facilities handling that? I know I am not working around the clock!

3. Managing new admits

   imkaren2 replied to TigerxLiLy's topic in MDS

   As a rule only our admin and admission director can accept admissions, they accept them VERY quickly before someone else gets them!! I review online the preadmission screening, then when they are admitted, I look at the d/c summary sent from the hos...

4. How Many MDS Assessments Per Month

   imkaren2 replied to ibtootie's topic in MDS

   I do all the medicare MDSs in the building and today my medicare census is 21. The facility has 154 beds so I also do about 30 long term care MDSs. I attend daily PPS, care plan meetings 2x weekly and several other weekly meetings and other jobs as w...

5. Scenario

   imkaren2 replied to TigerxLiLy's topic in MDS

   Medicare will cover her for rehab 3x/wk and 2 restoratives, I'd look into pain and if we are how often do we need to change her meds to manage her pain, how about the bleeding and what is being done with that and how often in a weeks time? All are s...

6. Inactivation

   imkaren2 replied to sls73's topic in MDS

   I thought so too but after reading the RAI in ch 2, it appears that the ARD needs to be set prior to d/c. Our company has stated that and I'm reading it that way also. Only then you are able to modify the ARD to the d/c date. The RAI is saying that ...

7. Inactivation

   imkaren2 replied to sls73's topic in MDS

   I'm wondering what other MDS and CCMs are doing in the case where your medicare patients are admitted late friday after you go home and are discharged to the hospital or expire before you return on monday and you aren't able to set and ARD. Are you ...

8. Billing and MDS 3.0

   imkaren2 replied to sls73's topic in MDS

   I'm just reading this now, We need to be closed by the 3rd of the month, mincluding those that came in at the end of the month. It doesn't make sense to us to hold up billing and bill the next month when the patient didn't come in that month. I am an...

9. Staffing? How many residents are you responsible for?

   imkaren2 replied to nurse1109's topic in MDS

   I was managing 20-28 medicare and 6-10 managed care pts. and that was way to overwhelming and attending multiple meetings nearly daily. Our SNF is 154 pts and the rest are LTC, I have 1 other MDS person who did the rest of it. About 2 months ago the ...

10. PT eval day count as missed day?

    imkaren2 replied to kavdah's topic in MDS

    My feeling is the eval counts as a day, and the next 2 days make 3 days without therapy. The person who said this rule doesn't apply to the 5 day, not so, if there is no therapy for 3 days, including weekends regardless if you are a facility with/ou...

11. really?

    imkaren2 replied to crazyforthis's topic in MDS

    We'd be admitting him too. I'd use the d/c date as the 5-day and combine them. 11/8/11. You'll want the RUG to cover for a day is what I'm told even though we don't charge for day of discharge.

12. coding isolation

    imkaren2 replied to crissrn27's topic in MDS

    It's standard precat in our facility too, and some of our folks have ESBL, VRE or MRSA with it and its still standard. Basically if it's strict isolation, they go back to the hospital for reverse iso. is what we are told. Otherwise we do everything e...

13. RNAC Staffing

    imkaren2 replied to gladtobeOB's topic in MDS

    Our building is 154 pts. myself, RNAC, and a MDS person, we attend al of the careplan meetings, there are 3 at risk meetings, I attend 1 of them, she attends 2, I attend PPS daily, and keep up the management board daily, Monthly PI, and of course, we...

14. MDS nurse needs a break

    imkaren2 replied to montecarlo64's topic in MDS

    I love that goats smile! LOL:)

15. Medicare stay question

    imkaren2 replied to Sheryl218's topic in MDS

    Hi Sheryl If I understand you correctly, your pt. went out to the hospital and returned, the day he returns is day 1 of his medicare stay. So now that 5day is set for the day the pt. went to hospital and is also the discharge assessment. Both of tho...