Helpful tips and tricks for the MDS/ LTC Reimbursement Professional
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Pneumococcal Podcasts
When a topic as complex as vaccines becomes socially taboo, where do you go to talk about it? Join pediatrician Dr. Bob Sears and Melissa, mother and health freedom educator, on this informative journey where we will discuss everything from disease outbreaks to vaccine risks and side effects, the vaccine schedule, media hype, vaccine laws and controversies, and everything in between. Learn more at our non-profit website ImmunityEducationGroup.org | Sources available at bit.ly/vaxconv . Suppo ...
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The MDS Guru - Episode 70 - (S) & (L) - % of Residents Assessed and Given the Seasonal Influenza & Pneumococcal Vaccines + (S) % of Residents Who Newly Received an Antipsychotic Med + (L) % of Residents ...
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4:28Send us a text 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? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 69 - % of Residents Who Use Antianxiety or Hypnotic Meds(L) & Prevalence of Antianxiety/Hypnotic Use(L) QMs
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3:29Send us a text 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? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 68 - % of Residents With Depressive Symptoms(L) & Residents Ability to Walk Independently Worsened(L) QMs
5:57
5:57
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5:57Send us a text What makes the depression symptoms QM trigger? What if my resident is hospice and stops walking? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 67 - Residents Experiencing One or More Falls With Major Injury (L) & Residents Who Lose Too Much Weight (L) QMs
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4:08Send us a text 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? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 66 - The (L) Percent of Residents Who Have/Had a Catheter Inserted & Left in Bladder & (L) % of Residents with a UTI QMs
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4:22Send us a text How can I get this foley to not trigger? And this UTI? Should I capture this on the MDS? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 65 - The Missouri Medicaid Draft Listing Mix-Up
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2:56
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2:56Send us a text We uncover how dually eligible residents should be listed on your draft rate corrections for Missouri. Are you losing CMI from part A residents? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 64 - MANHA's Executive Director Speaks
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16:00
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16:00Send us a text 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. Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 63 - A Reimbursement Reality Check: A SNF Administrator's Perspective
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20:06
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20:06Send us a text 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. Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 62 - The Need for Help with Daily Activities has Increased (L) QM
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4:16
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4:16Send us a text 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 Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 61 - The Antipsychotic Med (L) QM
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3:55Send us a text What 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 showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 60 - The Pressure Ulcer (L) QM
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4:39
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4:39Send us a text Why is this pressure sore from December listed on my January QM report? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 59 - The Admission Function Score
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3:47
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3:47Send us a text Do you know what the entry/admission function score is? It is part of the Discharge Function Score. Tune in now! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 58 - Section I Diagnosis Coding and Reporting Nurses to the State Board for Coding
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7:04
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7:04Send us a text Let's talk about section I diagnosis coding. How do we not get into trouble? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 57 - THERE IS A THIRD MDS DRAFT FOR OCTOBER 2025 NOW!
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3:16
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3:16Send us a text Are we getting a section R? What about all the therapy question changes? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 56 - What is the Three-Day Assessment Window to support Section GG?
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4:25Send us a text 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? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 55 - The Timing for the Many MDS Interview Questions
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3:40Send us a text When should these be signed? Before the ARD? After? Staff interview question specifics?? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 54 - Primary Medical Condition Category
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3:50
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3:50Send us a text What category does Covid fall into? Dementia does not below in the neuro categories. Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 53 - Don't Find Yourself Having a One on One With The OIG-The New Surveyor Guidance for MDS
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3:52
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3:52Send us a text Do not find yourself having a one on one with the OIG! Who decides if the MDS person purposely miscoded an assessment? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 52 - How to Validate Section GG Responses on the MDS for Missouri Medicaid
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5:18
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5:18Send us a text 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! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 51 - Should I code isolation for CDIFF? What about MDRO's?
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5:46
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5:46Send us a text When should isolation be coded? What are the constituents of an MDRO? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 50 - How to Validate Your Cognitive Responses on the MDS for Missouri Medicaid
6:56
6:56
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6:56Send us a text Can I summarize? Is an impaired BIMS enough documentation to mark the resident impaired? www.renshawconsulting.com Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 49 - The Discharge Mobility & Discharge Self-Score Scores
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6:56
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6:56Send us a text What questions in section GG are used here? Are these included in the 5-star rating? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 48 - When Should I Do A Significant Change?
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4:53
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4:53Send us a text Does changing physicians prompt a sig change? My resident is leaving the facility after a major decline. Do I complete a sig change? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 47 - Data elements that cause the 2% APU deduction if DASHED
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3:55
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3:55Send us a text What? 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 showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 46 - What parts of the MDS figure into the Nursing CMI?
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7:33
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7:33Send us a text 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! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 45 - What primary medical condition category is this diagnosis?
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5:16Send us a text Is 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 showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 44- How Do I Code This Tube Feeding in Section GG For Eating?
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4:02
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4:02Send us a text Wait, my resident is NPO, how do I code eating? My other resident has never ate by mouth? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 43 - The Draft Item Changes for the October 2025 MDS
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4:32
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4:32Send us a text Adding a section R? What does that mean? What will be in it? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 42 - Should I code this weight loss?
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4:51
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4:51Send us a text Is this weight loss coded on the last MDS real? Wait, my resident lost weight at 4 months but is back to normal. Do I code this? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru - Episode 41 - When to code a UTI & Sepsis
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6:38
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6:38Send us a text The most common erroneously coded QM is a UTI. Are you coding it wrongly too on the MDS? How did the RAI change the coding in relation to sepsis last October? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 40 - A Missouri Medicaid Bombshell!
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6:38
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6:38Send us a text We answer a few more of your questions and drop the new bombshell from Myers & Stauffer!! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 39 - How to Write a Physician Query
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3:05Send us a text What do we include? What should we never do? What is a leading query? www.renshawconsulting.com Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 38 - Hospice in LTC and MDS
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4:11
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4:11Send us a text What is our role as MDS in the LTC hospice program? What do we care plan for these residents? Support the showBy Melinda Renshaw, RN RAC-CT
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Send us a text A brief summary of our recent questions. Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 36 - Complete Details of a Missouri Medicaid Audit - The 411
12:26
12:26
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12:26Send us a text I attended a Myers & Stauffer Missouri Medicaid Audit in its entirety. Helpful insight into what the auditors are looking for. Get the details here! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 35 - The New Missouri Medicaid Cost Report Release
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3:47
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3:47Send us a text There is a typo on everyone's report! How long will this rate be in effect? The work we are doing now goes toward a rate when? Is it too late to fix anything for January? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 34 - Care plan & MDS timing
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5:23
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5:23Send us a text When do I update my care plan? How long do I have to complete admission assessments when the resident has been back to the hospital? Tune in now! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 33 - What is an ADP for a SNF revalidation?
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3:09
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3:09Send us a text CMS now wants all SNF's to report all consultants, any company who leases SNF property, exercises operational or financial control, etc on their annual provider enrollment forms. WHY? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 32 - How to claim respiratory therapy on the MDS
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7:29
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7:29Send us a text What interventions should we put into the orders? Should I care plan the breathing treatments? What is a respiratory nurse? Tune in for all the answers! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 31 - QM General Questions
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5:24
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5:24Send us a text A few general QM questions, a mini Q & A. Tune in now! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 30 - Missouri Medicaid Case Mix Q & A Part 3
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6:06Send us a text Should the IDT meeting note for section GG be before the ARD? Is chronic lung disease the same as respiratory failure? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 29 - The Mo Medicaid Case Mix Review IDT Note For Section GG
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4:29
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4:29Send us a text We know what it takes to substantiate your section GG answers. Also, what is the requirement for calorie documentation via PEG tube? Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 28 - The Missouri Medicaid Case Mix Reviews Feedback
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4:25Send us a text We now have some feedback from the Myers & Stauffer reviews. Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 27 - The Missouri Medicaid Case Mix Review Entrance Conference
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5:23
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5:23Send us a text We review the forms and procedures of the case mix reviews that are coming from Missouri Medicaid. Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 26 - More Missouri Medicaid Case Mix Q & A
8:41
8:41
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8:41Send us a text We have more questions asked and answered of Myers & Stauffer for MO Medicaid Case Mix Reviews Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 25 - Missouri Medicaid Case Mix Review Questions
8:59
8:59
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8:59Send us a text I have sent your questions to Myers & Stauffer and received answers. Let's review them! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Podcast Episode 24 - Missouri Medicaid Case Mix Reviews
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5:55Send us a text Myers & Stauffer are to begin PDPM case mix reviews for Mo Medicaid. There is published guidance now & a FAQ document. Support the showBy Melinda Renshaw, RN RAC-CT
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Send us a text Section GG Review Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 22-The Nasty 2% APU deduction
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6:11
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6:11Send us a text How does MDS avoid receiving this deduction for your home? What fiscal year is CMS currently collecting data for? We have the info! Support the showBy Melinda Renshaw, RN RAC-CT
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The MDS Guru Episode 21 - The Five Star Rating
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4:24Send us a text The CMS 5 Star rating is derived from 15 measures. Why is this important to MDS? Tune in here for details! Support the showBy Melinda Renshaw, RN RAC-CT
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