CMS to Conduct Additional MDS 3.0 Training in August

Posted on 06. Jun, 2010 by in MDS Minute.

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The August training will include MDS 3.0 updates. 

Folks who didn’t get to go to CMS’ April MDS 3.0 training in Baltimore will have another shot at receiving in person training before the new instrument debuts on Oct. 1.

People should…

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FDA: Proton Pump Inhibitors Could Increase Fracture Risk

Posted on 04. Jun, 2010 by in Clinical Notes.

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PPIs linked to wrist, hip, spine fractures.

Putting residents on proton pump inhibitors long-term or at high doses may be fraught with fracture risk.

Recently, the Food and Drug Administration  (FDA) has ordered a revision to the prescription and over-the-counter…

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International Panel Sets New Malnutrition Standards

Posted on 04. Jun, 2010 by in Nutrition.

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The initiative is expected to end confusion and misdiagnosis.

Experts have agreed on three uniform definitions of malnutrition that will help scientists, health care professionals, and clinicians deal with its treatment better.

Members of the European Society for Clinical Nutrition…

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Red Flag Rule Sees Another Delay

Posted on 03. Jun, 2010 by in Breaking News.

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You now have until the new year to get your identity theft plan in order.

Your Red Flags Rule plan may be good for your patients, but it probably won’t help your regulatory status for a while yet.

That’s because the…

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HHS Office of Inspector General Investigating Alleged Rehab RUG Upcoding by National SNF Provider

Posted on 08. Apr, 2010 by in Breaking News.

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Lesson learned: Be prepared to support outlier utilization.

Compliance experts often advise SNFs to keep an eye on their RUG patterns to see if anything jumps out at them as a red flag for potential inappropriate utilization.

As a case…

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CLASS Act Aims to Defray LTC Costs for People With Functional Limitations

Posted on 14. Apr, 2010 by in Reimbursement.

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Find out what the CLASS Act provides and a potential Achilles’ heel.

How many times have you admitted residents who were counting on Medicare to pay for their long-term care needs way beyond a 100-day SNF stay? In reality, of…

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Sleep Apnea Identified As a Stroke Risk Factor

Posted on 15. Apr, 2010 by in Clinical Notes.

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Study shows that men are at higher risk than women.

People who habitually snore and breathe abnormally through the night — especially middle-aged and older men— are more in danger of suffering from a stroke, according to a

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Be Prepared to Do Discharge MDS Assessments When the MDS 3.0 Goes Live

Posted on 16. Apr, 2010 by in MDS Minute.

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Find out what CMS may be able to tell based on this assessment.

Unless CMS makes a change before the MDS 3.0 rolls out on Oct. 1, your team will be doing MDS discharge assessments that make the current discharge…

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New Research Boosts Hope on the Breast Cancer Front

Posted on 21. Apr, 2010 by in Clinical Notes.

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If your post-acute patients with breast cancer ask you for the latest Rx news, here it is.

Researchers have found that two types of commonly used medications — beta blockers and aspirin — appear to have a positive impact on breast…

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Study: Baby Boomer Trends Portend Increased Demand for Long-Term Care

Posted on 22. Apr, 2010 by in Breaking News.

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Study finds pre-Medicare age group shows surprising rate of functional limitations.

A new study appears to call into question the image of a future where the majority of Baby Boomers manage to sidestep disability and the need for ongoing long-term care….

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Integrate Liberal Doses of Nonpharmacological Remedies in Your Pain Managment Toolkit

Posted on 22. Apr, 2010 by in Clinical Notes.

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Think inside the box for making the most of what you have to combat pain.

If notions of non-medication pain management bring to mind aromatherapy, biofeedback, and acupressure — those modalities are definitely on the list. But a pain management care plan…

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CMS Completes MDS 3.0 Train-the-Trainer Sessions, Shares Future Plans

Posted on 25. Apr, 2010 by in Breaking News.

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Tap these MDS 3.0 Q&As and other training materials.

The Centers for Medicare & Medicaid Services has achieved a major MDS 3.0 milestone. The agency has completed its MDS 3.0 train-the-trainer sessions.

In March, the agency conducted training for state…

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Tap the MDS 3.0’s Heightened Risk Prediction Powers

Posted on 30. Apr, 2010 by in MDS Minute.

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Coding for falls and behaviors can give you an edge in heading off problems.

The MDS 3.0 allows you to distill a more accurate resident risk profile to head off problems from admission on. Check out these five key assessment…

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FDA Approves Prostate Cancer Vaccine to Treat Metastatic Disease

Posted on 30. Apr, 2010 by in Clinical Notes.

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Add this novel option to the prostate cancer Rx list.

When patients with hormonally-resistant metastatic prostate cancer or their families ask you about their next treatment step, be prepared to let them know about a new vaccine. 

What it is:  The Food…

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Does Staying on Top of DAB and ALJ Rulings Pay Off as a Survey Management Strategy?

Posted on 01. May, 2010 by in Surveys & Compliance.

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Doing this instead may provide a bigger bang for your effort.

Questions: How advantageous is it for nursing facilities to review ALJ or DAB rulings in terms of applicability to their own situations? Can you sometimes identify trends by staying…

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Federal Probe Targets Nursing Home Operator for Potential Illegal Referrals to Psych Facility

Posted on 01. May, 2010 by in Surveys & Compliance, Uncategorized.

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Convicted physician points incriminating finger at nursing home  operator.

The net is widening in a case where a Chicago internal medicine physician was convicted last year for providing kickbacks to other doctors to refer Medicare patients to a private psychiatric facility…

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Sleep Troubles Pester Shift Workers

Posted on 06. May, 2010 by in Breaking News.

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Talking to your night shift folks may unveil whether sleep deprivation is taking a toll.

People in their 30s and 40s who work night shifts have trouble sleeping, according to a report in the April Journal

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Got EMRs? Brush Up on Privacy Basics Before Your Next Survey

Posted on 06. May, 2010 by in Surveys & Compliance.

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2 common privacy missteps will translate into F tags.

HIPAA compliance is hot these days. And the best way to stay out of survey hot water for privacy breaches involving electronic health records is to know what surveyors will…

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GAO to CMS: Get Tougher on Special Focus Facilities

Posted on 07. May, 2010 by in Surveys & Compliance.

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CMS gets poor marks from GAO on enforcement of SFFs.

The Centers for Medicare & Medicaid Services (CMS) should exert more efforts to improve poorly performing nursing homes, as some states have not adhered to the requirements of CMS’s Special Focus…

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Ramp Up for the MDS 3.0 Interviews Now — Here’s How

Posted on 08. May, 2010 by in MDS Minute.

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Tips help residents participate more fully.

The MDS 3.0 resident interviews will play a pivotal assessment role once the instrument goes live on Oct. 1. And now’s the time for your team to get a solid grip on the…

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LTC Planning Starts With Knowing the Bottom Line, Options

Posted on 14. May, 2010 by in MDS Minute.

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Preparing for future long-term care is a conversation everyone should have.

Thinking through long-term care costs and coverage should be part and parcel of all retirement planning.  In fact, one financial counselor notes that you either talk long term care…

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Spouses of People With Dementia Could Be at Higher Risk for the Condition

Posted on 13. May, 2010 by in Breaking News.

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Spousal caregiver burden may include a heightened risk for  developing dementia.

Previous studies have linked spousal caregiver stress to an increased incidence of depression and physical ailments. But a new study has come up with a disturbing finding: People are…

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Tune Up Patients’ Stooping, Crouching, Kneeling Abilities

Posted on 15. May, 2010 by in Clinical Notes.

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Get the inside scoop on how rehab therapists can help older adults with these functional limitations.

Documenting strength measurements may be especially important when working with elderly rehab patients. Recent research published in Physical Therapy suggests that decreased muscle strength is…

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RUG-IV May Require Revamping Case Management Strategies

Posted on 16. May, 2010 by in Surveys & Compliance.

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Home therapy visits could help achieve targeted outcomes under RUG-IV.

RUG-IV will only allocate half of a resident’s concurrent therapy minutes toward placement in a rehab RUG category. And the industry will take some time to figure out if having…

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Poor Sleep Troubles Older People in ALFs

Posted on 21. May, 2010 by in Clinical Notes.

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Study suggests abnormal sleep predicts worsening quality of life.

Older people living in Assisted Living Facilities (ALFs) suffer from sleeping problems, a study published in the Journal of the American Geriatrics Society

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Study Connects Elderly People’s Falls with Blood Pressure and Flow

Posted on 21. May, 2010 by in MDS Minute.

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Seniors with blocked arteries fall an average of 1.5 times a year.

There could be a significant link between high blood pressure, slow blood flow in the brain, and incidence of falls in elderly people, according to a study published…

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Keep Your Eye Out for This IJ Citation Waiting to Happen

Posted on 22. May, 2010 by in Surveys & Compliance.

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Just because a nursing home resident doesn’t have an identified risk doesn’t mean you can’t get penalized for it.

How’s this for a survey management twist? Facilities can get hit with F tags for identifying a risk that doesn’t really…

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Create Crystal Clear Phone and Preauthorized Orders With These Tips

Posted on 23. May, 2010 by in LTC Trends.

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A standing physician’s order can help or hurt depending on whether you have these controls in place.

You can manage many conditions in the nursing home with telephone and standing orders. But your facility should take steps to ensure that…

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Poll Finds Californians Fear Long-Term Care Costs

Posted on 26. May, 2010 by in LTC Trends.

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Californians may not be the only ones with long-term care on their minds.

With the passing of the new health care law comes a new study that says two-thirds of registered California voters are anxious about the costs of long…

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Heading Off Delirium Could Prevent Permanent Cognitive Loss

Posted on 26. May, 2010 by in Clinical Notes.

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The MDS 3.0 Confusion Assessment Method could be a tool to help prevent dementia.

Clinicians often spell out the ways to tell dementia from delirium. But are the two actually linked so that preventing delirium could help protect a person’s…

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CMS Shares RUG-IV Payment Plans for Oct. 1, 2010

Posted on 27. May, 2010 by in MDS Minute.

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CMS to pay RUG-IV rates for the MDS 3.0 with retroactive payment adjustments.

CMS recently provided a heads up on its plans for managing the legislated RUG-IV delay. In a May 24 update for SNF providers, the Centers for Medicare…

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Peek, You Pay: Case Provides Impetus for Shoring Up HIPAA Compliance

Posted on 28. May, 2010 by in Regulatory Trends.

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HIPAA violation lands an employee federal prison time.

When training staff about the dangers of accessing people’s medical records without a legit reason, you might cite a recent case as a cautionary tale.

A hospital researcher recently received a four-month…

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MDS Section Q: Compliant Return to Community

Posted on 03. Jul, 2014 by in MDS Minute.

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Consider these 7 questions and know that your resident’s individual rights come first.

Coding a resident’s desire to return to community in Section Q of the MDS does not have to be challenging. Your concern for the facility’s liability, particularly…

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Clarify Primary VS Secondary to Confidently Code Section I – Active Diagnoses

Posted on 13. Jun, 2014 by in Reimbursement.

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While coding Section I, identify the active diseases and infections that drive the current care plan and report them on the MDS 3.0.

 

Confused between which diagnosis is primary and which

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