Shows
The MDS GuruThe MDS Guru - Episode 62 - The Need for Help with Daily Activities has Increased (L) QMSend us a textWhy 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.comSupport the show2025-07-2804 minThe MDS GuruThe MDS Guru - Episode 61 - The Antipsychotic Med (L) QMSend us a textWhat can I do about this long stay QM flag? What are the exclusions? How can I get my provider to stop using these?Support the show2025-07-2103 minThe MDS GuruThe MDS Guru - Episode 60 - The Pressure Ulcer (L) QMSend us a textWhy is this pressure sore from December listed on my January QM report? Support the show2025-07-0904 minThe MDS GuruThe MDS Guru - Episode 59 - The Admission Function ScoreSend us a textDo you know what the entry/admission function score is? It is part of the Discharge Function Score. Tune in now!Support the show2025-06-2303 minThe MDS GuruThe MDS Guru - Episode 58 - Section I Diagnosis Coding and Reporting Nurses to the State Board for CodingSend us a textLet's talk about section I diagnosis coding. How do we not get into trouble?Support the show2025-06-1607 min
LTC NAC ChatKnow the Rules, Win the Fight: Inside SNF Medicare AppealsIn this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the Medicare appeals process in skilled nursing facilities.
Additional Resources:
Medicare Parts A & B Appeals Process: How the Five Levels of Appeal Work – AAPACN Article
Medicare Advantage vs. FFS Part A Expedited Determinations: What’s the Difference? – AAPACN Article
RAC-CTA - Medical Reviews and Oversight for the Advanced Medicare Specialist - Online + PDF – AAPACN On-Demand Course
Medicare Basic Training Part 9: Beneficiary Notices Initiative On-Demand Workshop – AAPACN Training
Me...2025-06-0423 minThe MDS GuruThe MDS Guru - Episode 57 - THERE IS A THIRD MDS DRAFT FOR OCTOBER 2025 NOW!Send us a textAre we getting a section R? What about all the therapy question changes?Support the show2025-05-2803 minThe MDS GuruThe MDS Guru - Episode 56 - What is the Three-Day Assessment Window to support Section GG?Send us a textWhat 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?Support the show2025-05-1504 minThe MDS GuruThe MDS Guru - Episode 55 - The Timing for the Many MDS Interview QuestionsSend us a textWhen should these be signed? Before the ARD? After? Staff interview question specifics??Support the show2025-04-2503 minThe MDS GuruThe MDS Guru - Episode 54 - Primary Medical Condition CategorySend us a textWhat category does Covid fall into? Dementia does not below in the neuro categories. Support the show2025-04-1803 minThe MDS GuruThe MDS Guru - Episode 53 - Don't Find Yourself Having a One on One With The OIG-The New Surveyor Guidance for MDSSend us a textDo not find yourself having a one on one with the OIG! Who decides if the MDS person purposely miscoded an assessment?Support the show2025-04-0903 minThe MDS GuruThe MDS Guru - Episode 52 - How to Validate Section GG Responses on the MDS for Missouri MedicaidSend us a textI 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!Support the show2025-03-2605 minThe MDS GuruThe MDS Guru - Episode 51 - Should I code isolation for CDIFF? What about MDRO's?Send us a textWhen should isolation be coded? What are the constituents of an MDRO?Support the show2025-03-2005 minThe MDS GuruThe MDS Guru - Episode 50 - How to Validate Your Cognitive Responses on the MDS for Missouri MedicaidSend us a textCan I summarize? Is an impaired BIMS enough documentation to mark the resident impaired?www.renshawconsulting.comSupport the show2025-03-1406 minThe MDS GuruThe MDS Guru - Episode 49 - The Discharge Mobility & Discharge Self-Score ScoresSend us a textWhat questions in section GG are used here? Are these included in the 5-star rating?Support the show2025-03-0906 minThe MDS GuruThe MDS Guru - Episode 48 - When Should I Do A Significant Change?Send us a textDoes changing physicians prompt a sig change? My resident is leaving the facility after a major decline. Do I complete a sig change?Support the show2025-03-0204 minThe MDS GuruThe MDS Guru - Episode 47 - Data elements that cause the 2% APU deduction if DASHEDSend us a textWhat? 13 pages on CMS.gov? We break this down to a very easy subset. SNF QRP FY2026 APU Table for Reporting Assessment Based Measures and Standardized Patient Assessment Data Elements If you would like to look for yourself, Support the show2025-02-1703 minThe MDS GuruThe MDS Guru - Episode 46 - What parts of the MDS figure into the Nursing CMI?Send us a textDoes 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!Support the show2025-02-1007 minThe MDS GuruThe MDS Guru - Episode 45 - What primary medical condition category is this diagnosis?Send us a textIs schizophrenia non-traumatic brain dysfunction or medically complex? What category do I choose for this fall with a fracture and subsequent hip replacement?Support the show2025-02-0405 minThe MDS GuruThe MDS Guru Episode 44- How Do I Code This Tube Feeding in Section GG For Eating?Send us a textWait, my resident is NPO, how do I code eating? My other resident has never ate by mouth?Support the show2025-01-3104 min