The MDS Guru
Helpful tips and tricks for the MDS/ LTC Reimbursement Professional
Episodes
We are joined by Dee Shaffer, a dually Missouri & Kansas licensed admin. What works for her facility to navigate the complex world of Medicare & Medicaid.
Why did this trigger when I answered the late loss ADL's as not attempted due to medical condition? Wait, this resident only declined in one area, why did this also trigger?
www.renshawconsulting.com
What can I do about this long stay QM flag? What are the exclusions? How can I get my provider to stop using these?
Why is this pressure sore from December listed on my January QM report?
Do you know what the entry/admission function score is? It is part of the Discharge Function Score. Tune in now!
Let's talk about section I diagnosis coding. How do we not get into trouble?
Are we getting a section R? What about all the therapy question changes?
What do we do about unplanned discharges? How are we supposed to have information? What if the discharge was a PPS & OBRA discharge combined, what is that time frame?
When should these be signed? Before the ARD? After? Staff interview question specifics??
What category does Covid fall into? Dementia does not below in the neuro categories.
Do not find yourself having a one on one with the OIG! Who decides if the MDS person purposely miscoded an assessment?
I have my ADL charting in the notes, is that good enough? Make sure you are using the ARD and two previous days for your ADL assessments!
Can I summarize? Is an impaired BIMS enough documentation to mark the resident impaired?
www.renshawconsulting.com
What questions in section GG are used here? Are these included in the 5-star rating?
Does changing physicians prompt a sig change? My resident is leaving the facility after a major decline. Do I complete a sig change?
What? 13 pages on CMS.gov? We break this down to a very easy subset.
If you would like to look for yourself,
Does walking figure into the nursing CMI? What about HIV or cancer? We briefly cover the entire MDS to reveal what sections play into this calculation. Tune in!
Is schizophrenia non-traumatic brain dysfunction or medically complex? What category do I choose for this fall with a fracture and subsequent hip replacement?
Wait, my resident is NPO, how do I code eating? My other resident has never ate by mouth?
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