Gaby63

Latest Activity

1. medicare A nurse/documentation nurse

   Gaby63 replied to TigerxLiLy's topic in MDS

   Have to wonder what kind of budget allows a "Med A documentation nurse".....never heard of one either.... still, if a job description and duties are not being followed, then address, correct, educate, fix or terminate.

2. How to chart to increase payment.

   Gaby63 replied to june2009's topic in MDS

   Quick ex: independent for eating, night shift cna holds their water cup for them to drink , no longer independent....this came from one of our cna that we talked to because we thought she was coding incorrectly as dependent. She said that after havin...

3. How to chart to increase payment.

   Gaby63 replied to june2009's topic in MDS

   Correct, take credit for what is done, regardless of reasons. However, only late loss adls affect reimbursement , bed mobility, transfer, eating and toileting. That being said, we do actual coding training with each new hire and pair them with a seas...

4. Is this correct practice?

   Gaby63 posted a topic in Wound

   I work as an RNAC in LTC and would appreciate feed back on a wound issue that has come up. We have a resident that has had a chronic pressure wound that was initially staged as a 4, about 2+ years ago. Now measures 0.2x0.2x0.2 and hasn't changed for ...

5. Does this qualify for Medicare?

   Gaby63 replied to Gaby63's topic in MDS

   Thank you, Talino....I'm grasping here at the word "entitlement".... This resident became eligible for Medicare in 2000, wasn't aware of it till recently, after being cut by an HMO in another facility after only about 19 days, then came to our facili...

6. Does this qualify for Medicare?

   Gaby63 posted a topic in MDS

   A recent admission Medicare became effective 4/1. Qualifying hospital stay 3/5 till 3/11. Please help clarify which is correct. 1) no, because hospital stay must be AFTER Medicare becomes effective. 2) yes, because it is within a 30 day window of hos...