MDSRN15

Latest Activity

1. Re-opened wound

   MDSRN15 posted a topic in Wound, Ostomy, Continence

   Experts, Clarification please! I have a stage 3 sacral pressure ulcer that healed 2 years ago, now I have a new redness on the sacrum, is it the same Stage 3? OR a new...

2. Waiver

   MDSRN15 posted a topic in MDS Coordinator Information

   Can you clarify the use of the extra 100 days under the 1135 waiver. * Resident has exhausted her 100 days. *Just went out again for new pacemaker, can I use the extra 100 waiver without any...

3. Interrupted stay

   MDSRN15 replied to MDSRN15's topic in MDS Coordinator Information

   No dc on 3/15 with interrupted stay checked off then re-entry with an ARD of 3/21 ???? I'm so confused with

4. Interrupted stay

   MDSRN15 posted a topic in MDS Coordinator Information

   Experts, Need some help with setting ARDs: Entry 3/14 DC to hospital 3/15 Interrupted stay Came back 3/17 THANK

5. Aetna MCR assessment needed

   MDSRN15 replied to MDSRN15's topic in MDS Coordinator Information

   Thank

6. Aetna MCR assessment needed

   MDSRN15 posted a topic in MDS Coordinator Information

   Experts, Need help on how to set an assessment with this unique scenario. 1. LTC resident got an authorization from Aetna Mcr to cover her recent Covid with symptoms. 2....

7. IPA and restorative

   MDSRN15 posted a topic in MDS Coordinator Information

   Experts, Can adding 6 days of restorative for a Med A patient affect an IPA? Not sure if it will increase reimbursement or at least stay on the same HIPPS payment without the 2% reduction....

8. Managed Medicare and HIPPS code

   MDSRN15 replied to MDSRN15's topic in MDS Coordinator Information

   Hard to teach. I'll stay in my desk.

9. Managed Medicare and HIPPS code

   MDSRN15 replied to MDSRN15's topic in MDS Coordinator Information

   I wish I can paste an image, but I did created an admission assessment and I have an icon that can calculate a PDPM and RUG at the same time on this assessment. So, I can create a 5D with a HIPPS,...

10. Managed Medicare and HIPPS code

    MDSRN15 replied to MDSRN15's topic in MDS Coordinator Information

    Since our United plans pay using PDPM, then I have to create an admission then a stand alone 5D with GG filled out, please confirm. Wouldn't it be fraud since I'm submitting a different information to...

11. Managed Medicare and HIPPS code

    MDSRN15 replied to MDSRN15's topic in MDS Coordinator Information

    rehab expects both of us to have the same

12. Managed Medicare and HIPPS code

    MDSRN15 replied to MDSRN15's topic in MDS Coordinator Information

    I can calculate it automatically in my system. Did not combine assessment. So, when I create a standalone 5D as you stated I should dash-out GG, but rehab factors it out to create their

13. Managed Medicare and HIPPS code

    MDSRN15 replied to MDSRN15's topic in MDS Coordinator Information

    Follow-up on this Ms. Talino: 1. Received a letter from United MCR plans that they will use PDPM rules for billing. 2. Rehab follows PDPM and sets more minutes. Rehab then bills on a higher rate. 3....

14. Managed Medicare and HIPPS code

    MDSRN15 posted a topic in MDS Coordinator Information

    Experts, I have a resident with Aetna Managed Medicare, what assessments do I need to open. Biller needs a HIPPS code as she said AETNA adopted the PDPM rule. Thank again for all the help...

15. PDPM Admission

    MDSRN15 replied to MDSRN15's topic in MDS Coordinator Information

    Another follow-up with regard to setting ARD: If it is a Managed Medicare, do I separate admission from 5 day assessment? Or I can combine