Blogs

Pneumovac Vaccine

How do you code pneumovac vaccine that is not indicated for a 36 year old? Would I put "yes" up to date? If I put no "not offered" this would affect QM report. New to MDS, I would appreciate any thoughts...
Hi all! Is it considered worsening if a resident was DRA to hospital with stage 2 pressure ulcer then reenter the facility with stage 4 on the same site? Thank you!
When does the clock start for the resident who left the facility at 8;00 PM on 2/20 but admitted to hospital on 2/21 at 12:10am. He's discharged today 2/23/15 with diagnosis pnemonia. If he has three day stay I can give him 5 days of Medicare. Does he met the criteria for a three midnight stay????
How does phq 9 n qm affect qm n five star?

Flu season

What are people doing for infection control for employees who do not wish to have the flu vaccine? Are you/ do you have policies that they must wear a mask for the season like most hospitals do? Thanks for your help, Diane
Hello everyone! I have a friend Lisa that would like to know how many other facilities have their Social Service Depatment run care confernece meetings? If you have your Social Service Department running care conferences do you have a policy and would you share it? Thank you in advance!

Billing Part B

Hi, Perhaps I should be in another community to ask the following question but I know that there are so many experts in this community I wanted to start with this community first. A resident goes to a wound clinic while under Part A and receives debridement of a wound etc, ~Can the faciility bill under Part B for the technical services? If the services are billable under Part B who should be billing Medicare, the facility or the wound care clinic? Thank you for all your help! Lynn
Has anyone heard if Med B can be utilized for Cognitive Therapy? My DON thought she heard that we could use SLP in this capacity.
What type of documentation is needed in order to capture respiratory treatment on the mds...We have several residents receiving nebulizer treatments in our facility. The nurses just sign for it on the MAR... Is there a special form or anything that needs to be used ? thank you in advance :)

cets and recerts

Yes the medical director is responsible forsigning the certs and re certs and no you do not need a note from the other md's.
We had survey done short time ago This is for Wisconsin Focused heavily on prevention of infection ie if resident had several loose stool did we put them on contact precautions Then get a C-diff to see if that what was going on Also wanted logs on tracking When did they go on isolation, when did they come off What labs were done, was it at least 48 hours after last episode Also for staff if called in with illness ie N/V or diarrhea Did they not return back to work until 48 hrs after last symptom Anyway that was what we dealt with Good luck Karen

PEPPER Information

PEPPER Reports in the Mail "The first release of the Skilled Nursing Facility (SNF) PEPPER (version Q4FY12) was completed on August 30, 2013. SNFs administered through short-term acute care hospitals received their SNF PEPPER electronically. The SNF PEPPER file was uploaded to the File Exchange inbox of hospital QualityNet Administrators and user accounts with the PEPPER recipient role. QualityNet Administrators received download instructions in a separate email. Free-standing ...

Interviewable Residents

At my facility we keep a state ready book. Among many other forms, we keep a current census with the residents that are interviewable highlighted.
Hi Jenna, Just checking, with your message you did not mention the Quarterly assessment. Usually I do the Quarterly with the 90 day/COT in your case. Good Luck, Kim
Need clarification on who can DEVELOP the care plan? Thanks Teresa Coover, RN

Drowning in MDS

I feel your pain. We have a hundred bed facility and run am average of 20 medicare. We admit and discharge about two per day. The average stay is 20 days. I do all the sections. so my average day looks like two comprehensive, two 14 days and two discharges. And we throw in some COTs as well. Think of it as job security. I personally prefer to be very busy at work. It keeps me out of trouble.
MDS Coordinator – Ojai Valley Community Hospital’s Continuing Care Center Responsible for the coordination of the Resident Assessment Instrument(RAI), the electronic transmission of RAI data to the Centers for Medicare/Medicaid Services (CMS); the transfer of Resident Assessment Group (RUG) data to the financial system, coordinates the Triple Check team with financial, therapy, administration and Health Information Management; and the ongoing education of those preparing the MDS. Strong background with Medicare reimbursement regulations. Demonstrates the knowledge to complete the RAI and above listed responsibilities. Facilitates communication between ...
https://shop.briggscorp.com/pdf/17341P.pdf

quarterly

No it is still to be completed on time I would have done the quarterly then after go spuce admission I woukd have done a significant change of cindition putying them in hospce

LPN's to RN

I looked into going to school for my RN and could not find what I wanted. As I too have to work full time to support my family. I to would have to take several courses over as I have had my LPN since 1982. I think it is ridiculous that we have to get our RN after so many years. We are just as capable as the RN's to sign the assessments and know what we are doing as alot of RN's will come to us for advice when they don't know how to do something. We all have knowledge!! Thank You for letting me vent. Pamela Buck LPN RAC-CT