imkaren2

imkaren2

MDS/Medicare

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All Content by imkaren2

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

    imkaren2 replied to dbsue1954's topic in MDS Coordinator Information

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

  2. Inactivation

    imkaren2 replied to sls73's topic in MDS Coordinator Information

    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

  3. Managing new admits

    imkaren2 replied to TigerxLiLy's topic in MDS Coordinator Information

    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...

  4. How Many MDS Assessments Per Month

    imkaren2 replied to ibtootie's topic in MDS Coordinator Information

    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...

  5. Scenario

    imkaren2 replied to TigerxLiLy's topic in MDS Coordinator Information

    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...

  6. Inactivation

    imkaren2 replied to sls73's topic in MDS Coordinator Information

    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...

  7. Inactivation

    imkaren2 replied to sls73's topic in MDS Coordinator Information

    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...

  8. Billing and MDS 3.0

    imkaren2 replied to sls73's topic in MDS Coordinator Information

    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...

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

    imkaren2 replied to nurse1109's topic in MDS Coordinator Information

    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...

  10. PT eval day count as missed day?

    imkaren2 replied to kavdah's topic in MDS Coordinator Information

    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...

  11. really?

    imkaren2 replied to crazyforthis's topic in MDS Coordinator Information

    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

  12. coding isolation

    imkaren2 replied to crissrn27's topic in MDS Coordinator Information

    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....

  13. RNAC Staffing

    imkaren2 replied to gladtobeOB's topic in MDS Coordinator Information

    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...

  14. MDS nurse needs a break

    imkaren2 replied to montecarlo64's topic in MDS Coordinator Information

    I love that goats smile!

  15. Medicare stay question

    imkaren2 replied to Sheryl218's topic in MDS Coordinator Information

    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...

  16. cheat sheets for ICD0 coding

    imkaren2 replied to glm777's topic in MDS Coordinator Information

    I will, I will be there on Monday, forgot to get it today. But no

  17. Sot & eot before 5 day ard

    imkaren2 replied to ibtootie's topic in MDS Coordinator Information

    Ok, so maintain the RUG and no EOT or COT is

  18. Salary and responsibility of MDS coordinator/ Medicare case manager

    imkaren2 replied to limarie's topic in MDS Coordinator Information

    I have to say now with the new changes come oct 2011, my regional team has finally heard me. I now only have about 20 medicare, about 24 long term, I attend all of their care plan meetings weekly,...

  19. cheat sheets for ICD0 coding

    imkaren2 replied to glm777's topic in MDS Coordinator Information

    I actually have one that I've used for years and still use. The alphabet is a little off but it works for me, now its been working for the H.I.M. who does the ICD-9 coding. Some are too old now but I...

  20. 14 day vs DC vs COT.... lost here

    imkaren2 replied to crazyforthis's topic in MDS Coordinator Information

    Hi Karen What RUGs are you getting from those's assessments? You may/may not want to combine them. Your EOT trumps the

  21. Another COT question

    imkaren2 replied to WM_84's topic in MDS Coordinator Information

    This sounds like 2 questions so... 1) No COT required..same RUG. 2) Yes COT required, an increase in RUG, likewise, a decreased RUG would also require a COT assessment. Of note, the ADL score has no...

  22. Sot & eot before 5 day ard

    imkaren2 replied to ibtootie's topic in MDS Coordinator Information

    Well, doing an EOT will only depend on what that first RUG is, if it is a rehab RUG then yes you will need it, if there aren't enough minutes, or the ADLs are low the initial RUG may be a nursing one,...

  23. Sot & eot before 5 day ard

    imkaren2 replied to ibtootie's topic in MDS Coordinator Information

    Wait! Is the amputation new? If it is, therapy shouldn't be out, they need to be shrinking it and doing rehab! Ok, good luck

  24. Sot & eot before 5 day ard

    imkaren2 replied to ibtootie's topic in MDS Coordinator Information

    If you anticipate therapy coming out very soon, I would look at setting an ARD on a day 1-6 to capture the highest RUG be it nursing or rehab. Then the clock starts. If you get a nursing RUG, you will...

  25. How many COT's?

    imkaren2 replied to pixie120's topic in MDS Coordinator Information

    The COTs doesn't make the grace days obsolete exactly, depends on where they fall. If the RUG drops, you would want to set an ARD if possible in the window on a day before the COT to capture the...