The MDS Guru

The MDS Guru

Helpful tips and tricks for the MDS/ LTC Reimbursement Professional

Episodes

July 13, 2026 3 mins

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Did you know that the MO Medicaid reviews can trigger a required VIP?  Can the facility submit new evidence for consideration?

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Do you understand Medicare's 3-day Rule Waiver?  Does your admissions team know how the ACO models of REACH & TEAM work?

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What lessons from decades of leadership in aging services still apply today?

How can we prepare for the future of senior living while managing today's demands?

www.renshawconsulting.com

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Starting July 1st, how often will MO Medicaid audit your facility?  When is the IDT note due?  

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Stop guessing: When should I take my resident off of therapy?  SKILLED NEED VS PROGRESS PLATEAUS

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When to issue a SNF ABN vs a NOMNC or ABN?  What are the changes to the definition of a fall?  

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What could get my facility terminated from the Medicare/Medicaid program?

How does the 5-day PPS MDS count as two assessments for the QRP APU?

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What happens if we are late submitting the medical records?  How will I know if my home is selected?

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The MDS has several look back periods.  Do you know what they are?

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Do the assessments automatically drop to .62 CMI if they are not supported?  Do you know what a hierarchical method of CMI classification is?

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What new item will stop the antipsychotic med (L) QM from triggering?

What is the updated RAI definition regarding a fall?

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What is needed in my documentation for Covid to claim isolation on the MDS?

What if my MDS interview signatures are late?

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My resident's ER visit turned into an admission.  Will this ER visit trigger this QM?  My resident's cognition changed from a stroke, will his worsening continence trigger this?  

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When is the Influenza season for the MDS?  If your resident is using bedrails, you do not want to miss this!  What determines the criteria for "current" for the pneumococcal vaccinations?

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An appropriate anxiety diagnosis clears one of these QM triggers, do you know which one?  Hospice is an exclusion for one of them. Which one?

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What makes the depression symptoms QM trigger?

What if my resident is hospice and stops walking?

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How do I get rid of this fall with major injury on my QM report?  Can I use CHF as an exemption for my weight loss QM?

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How can I get this foley to not trigger?  And this UTI?  Should I capture this on the MDS?

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We uncover how dually eligible residents should be listed on your draft rate corrections for Missouri.  Are you losing CMI from part A residents?

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A conversation with Dottie Pataky, RN, the ED of the Missouri Association of Nursing Home Administrators.  Listen as we discuss the present, the future and some challenges of our LTC world.

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