All Content by smithand
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Admitting Dx
Hello everyone I am looking for CMS regulation regarding Admitting diagnosis. Patient was admitted from hospital to our facility and nurses put Admitted diagnosis as Dehydration. I have been told I cannot change admitted dx. Per hospital discharge record and H/P progress note Dehydration was resolved when patient was admitted to our facility. I have already submitted admission assessment, but now I am thinking to modify my assessment and change the admitted dx.
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OBRA
Thank you Talino !
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OBRA
Hello, I am looking for OBRA MDS calculator, today I found out that I opened an assessment 2 days late Please help.
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Help please
Thank you Talino
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Help please
State is coming toour Facility soon. I am so scared this is my first state survey as an MDSC. Wehave one patient I am very scared we are going to get tag because we didn'topen a SCSA for a new pressure ulcer of sacrum stage 3 on time. During thatperiod when I found out, that I closed my QRTLY assessment without coding M0100A as yes (I though patient still w/out skin impairment) I just went back andmodified QRTLY assessment and coded it in Section M without changing QRTLY toSCSA. Now i am working on annual assessment and I am thinkingto the MDS type from Annual to SCSA, since not only St 3 pressure ulcer notheeled yet, another new pressure ulcer of Rt heel, St 2 noted during lookingback period of this annual assessment.
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Help please
Talino should I also coded it as worsening since its was wound and it's now a pressure ulcer ? Thank you so much for your help.
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Help please
Thank you so much for taking time and responding.
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Confused
Hello, I am having some issues with my skin assessments. We have a patient with gluteal wounds, on the first skin assessment nurses just describe it as wound. " patient with wound on his left gluteal fold. Now they are describing it as pressure "pressure ulcer of right gluteal fold, stage 3." Can wound change to pressure ulcer?. Thank you for your time and help Smith
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Gluteal Wounds
Hello, I am having some issues with my skin assessments. We have a patient with gluteal wounds, on the first skin assessment nurses just describe it as wound. " patient with wound on his left gluteal fold. Now they are describing it as pressure "pressure ulcer of right gluteal fold, stage 3." Can wound change to pressure ulcer?. Thank you for your time and help Smith
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Help please
I have a patient within looking back period of his QRTLY assessment I coded him with NO pressure ulcer, since on his weekly skin assessment revealed only wound on his Right gluteal fold. Now I am working on Annual Assessment and weekly skin assessment revealed pressure ulcer of right gluteal fold, stage 3 . same area went from wound to pressure ulcer is this correct? How to code my M section I am lost. Please help