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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On Clinical Capsules we bring you the same evidence-based insights you trust from TRC Healthcare, now in podcast form. Every 2nd and 4th Tuesday, our expert editors from Pharmacist’s Letter, Prescriber Insights, and Pharmacy Technician’s Letter will break down the most impactful clinical developments - giving you clear, actionable takeaways in just minutes. TRC Healthcare offers CE credit for this podcast for pharmacist subscribers at our platinum level or higher and pharmacy technician subs ...
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Preventing Respiratory Syncytial Virus (RSV): Immunization Updates
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20:16RSV prevention is more important than ever, and pharmacy teams are on the front lines. In this episode, TRC Healthcare Associate Editor, Vickie Danaher, PharmD, reviews who should receive RSV vaccines, recent changes to age and risk-based recommendations, and how monoclonal antibodies protect infants and high-risk children. You’ll also hear practic…
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The MDS Guru - Episode 74 - How Will the Missouri Medicaid CMI Be Calculated When New Assessments Are Not Supported In 2026
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3:39Send us a text Do the assessments automatically drop to .62 CMI if they are not supported? Do you know what a hierarchical method of CMI classification is? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 73 - The NEW 1-1-26 Exclusion for the (L) Antipsychotic Med QM + The Conclusion of our QM Series-Prevalence of Falls & Behavior Symptoms Affecting Others (L)
4:48
4:48
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4:48Send us a text What new item will stop the antipsychotic med (L) QM from triggering? What is the updated RAI definition regarding a fall? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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Walk Through Updated Guidelines for Restless Legs Syndrome
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12:14In this episode, Rachel Cole, PharmD, walks us through the evolving landscape of restless leg syndrome management, highlighting why dopamine agonists are no longer first-line therapy and what that means for clinical practice. You’ll learn about the importance of checking for iron deficiency, practical non-drug interventions, and alternative medicat…
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The MDS Guru - Episode 72 - How To Claim Isolation for Covid on the MDS
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4:23
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4:23Send us a text What is needed in my documentation for Covid to claim isolation on the MDS? What if my MDS interview signatures are late? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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The MDS Guru - Episode 71 - Number of Outpatient ED Visits per 1000 (L) Resident Days & (L) % of Residents With New or Worsened Bowel or Bladder Incontinence QMs
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5:15
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5:15Send us a text My resident's ER visit turned into an admission. Will this ER visit trigger this QM? My resident's cognition changed from a stroke, will his worsening continence trigger this? Support the showBy Melinda Renshaw, RN, RAC-CTA, Reimbursement Specialist
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Lenacapavir for HIV Pre-Exposure Prophylaxis (PrEP)
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16:14In this episode, Rachel Cole, PharmD, explores the evolving landscape of medications for HIV pre-exposure prophylaxis (PrEP), spotlighting lenacapavir (Yeztugo)—a newly approved long-acting injectable option given just twice yearly. She walks through how it compares to oral therapies like Truvada and Descovy, plus other injectables such as cabotegr…
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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 ...
4:28
4:28
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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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In this episode, TRC Healthcare editor, Vickie Danaher, PharmD, dives into the 2025/2026 flu vaccine season with a clear overview of what’s new and what remains consistent. From updated vaccine strain compositions and preferred products for older adults to thimerosal-free recommendations and egg allergy guidance, this episode equips you with the la…
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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
3:29
3:29
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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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Buprenorphine for Opioid Use Disorder (OUD)
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15:23
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15:23In this episode, TRC Healthcare editor, Vickie Danaher, PharmD, discusses how pharmacists and pharmacy technicians play a vital role in ensuring access to buprenorphine for opioid use disorder treatment. She’ll explore approaches to addressing dispensing barriers, inventory management strategies, and the importance of recognizing opioid use disorde…
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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
4:08
4:08
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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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Don’t Let New Meds for Acute Migraine Give You a Headache
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16:25In this episode, TRC Healthcare editor, Rachel Cole, PharmD, evaluates 3 new migraine treatments: Atzumi, Brekiya, and Symbravo. She'll explain their dosing techniques and how they compare to existing therapies, while providing practical guidance on clinical considerations and cost-effective alternatives for acute migraine management. This is an ex…
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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
4:22
4:22
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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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Explore Different Med Regimens for H. pylori
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15:01In this episode, TRC Healthcare editor, Rachel Cole, PharmD, unpacks the updated recommendations for H. pylori management, spotlighting why bismuth quadruple therapy is now front and center and how to navigate antibiotic resistance and patient-specific factors. You’ll come away with actionable pearls on regimen selection, adherence strategies, and …
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Pain Management Update: Meet Suzetrigine (Journavx)
11:27
11:27
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11:27In this episode, TRC Healthcare editor, Vickie Danaher, PharmD, digs into Suzetrigine—brand name Journavx—the first non-opioid analgesic approved in over two decades. You’ll hear how it works, how it compares to hydrocodone/acetaminophen, and why it might be a game-changer for patients at risk of opioid misuse. We’ll also unpack limitations in the …
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New Twists to Old Meds: Fresh Formulations of Losartan, Minocycline, and More
18:49
18:49
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18:49In this episode, TRC Healthcare editor, Vickie Danaher, PharmD, discusses recently approved drug formulations that bring fresh options—and new challenges—to the pharmacy counter. From Arbli, the first ready-to-use losartan suspension, to Emrosi, a low-dose minocycline for rosacea, and Opipza, an oral film version of aripiprazole, we’ll walk through…
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Zepbound for Zzz’s: Exploring Tirzepatide for Sleep Apnea
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13:55
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13:55In this episode, TRC Healthcare editor, Sara Klockars, PharmD, BCPS unpacks the newly approved use of tirzepatide (Zepbound) for obstructive sleep apnea (OSA)—a first-in-class pharmacologic option for a condition long managed with devices and lifestyle changes. You’ll hear a concise review of sleep apnea pathophysiology, how tirzepatide works to re…
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The MDS Guru - Episode 63 - A Reimbursement Reality Check: A SNF Administrator's Perspective
20:06
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
4:16
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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In this episode, TRC Healthcare editor, Vickie Danaher, PharmD, guides listeners through the evolving landscape of biosimilars, highlighting their increasing presence in pharmacy practice and their critical distinctions from traditional generics. She explains the science behind biologics, the FDA’s rigorous approval process for biosimilars, and the…
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The MDS Guru - Episode 61 - The Antipsychotic Med (L) QM
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3:55
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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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Diabetes Treatment Debate: Should Metformin Still Be Used First?
13:17
13:17
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13:17In this episode, TRC Healthcare editor, Rachel Cole, PharmD, delves into the debate about whether newer medications for Type 2 diabetes, including SGLT-2 inhibitors or GLP-1 agonists, should be used first-line instead of metformin. She examines the benefitsand drawbacks of these newer medications, including their cardiovascular and kidney benefits,…
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Avoiding Medication Mishaps with Pet Prescriptions
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12:53
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12:53In this episode, TRC Healthcare editor, Don Weinberger, PharmD, PMSP, explores how to avoid medication mishaps with pet prescriptions. Learn about common pitfalls, species-specific risks, and best practices for pharmacists and technicians. This is an excerpt from our December 2024 Pharmacy Essential Updates continuing education webinar series. The …
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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
7:04
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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In this episode, TRC Healthcare editor, Vickie Danaher, PharmD, discusses Doxycycline Post-Exposure Prophylaxis for STIs. This is an excerpt from our August 2024 Pharmacy Essential Updates continuing education webinar series. The clinical resources mentioned during the podcast are part of a subscription to Pharmacist’s Letter, Pharmacy Technician’s…
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The MDS Guru - Episode 57 - THERE IS A THIRD MDS DRAFT FOR OCTOBER 2025 NOW!
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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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In this episode, TRC Healthcare editor, Gina Corley, PharmD, discusses how to treat hyperhidrosis, or excessive sweating, including the use of a drug called sofpironium or Sofdra, which is a new topical agent approved for primary axillary hyperhidrosis. This is an excerpt from our November 2024 Pharmacy Essential Updates continuing education webina…
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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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In this episode, TRC Healthcare editor, Sara Klockars, PharmD, BCPS, discusses tailoring contraceptive use in certain populations based on updated US medical eligibility criteria, patient preferences, and medical history. This is an excerpt from our October 2024 Pharmacy Essential Updates continuing education webinar series. The clinical resources …
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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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In this episode, TRC Healthcare editor, Vickie Danaher, PharmD, discusses the treatment of conjunctivitis, or pink eye. This is an excerpt from our July 2024 Pharmacy Essential Updates continuing education webinar series. The clinical resources mentioned during the podcast are part of a subscription to Pharmacist’s Letter, Pharmacy Technician’s Let…
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The MDS Guru - Episode 54 - Primary Medical Condition Category
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3:50Send us a text What category does Covid fall into? Dementia does not belong 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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In this episode, TRC Healthcare editor, Rachel Cole, PharmD, answers the question… To Vitamin D or Not to Vitamin D? That’s right, this episode we explore the latest guidelines on Vitamin D Supplementation. This is an excerpt from our October 2024 Pharmacy Essential Updates continuing education webinar series. The clinical resources mentioned durin…
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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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In this episode, TRC Healthcare editor, Vickie Danaher, PharmD, explains how the recently approved epinephrine nasal spray compares to the injectable products for treating anaphylaxis. This is an excerpt from our October 2024 Pharmacy Essential Updates continuing education webinar series. The clinical resources mentioned during the podcast are part…
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The MDS Guru - Episode 51 - Should I code isolation for CDIFF? What about MDRO's?
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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
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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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In this episode, TRC Healthcare editor, Sara Klockars, PharmD, BCPS, discusses a new drug for COPD, ensifentrine (Ohtuvayre). This is an excerpt from our September 2024 Pharmacy Essential Updates continuing education webinar series. The clinical resources mentioned during the podcast are part of a subscription to Pharmacist’s Letter, Pharmacy Techn…
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The MDS Guru - Episode 49 - The Discharge Mobility & Discharge Self-Score Scores
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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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4:53Send 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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In this episode, TRC Healthcare editor, Stephen Small, PharmD, BCPS, BCPPS, BCCCP, CNSC, discusses the management of diabetes meds around surgery. This is an excerpt from our November 2024 Pharmacy Essential Updates continuing education webinar series. The clinical resources mentioned during the podcast are part of a subscription to Pharmacist’s Le…
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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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In this episode, TRC Healthcare editor, Rachel Cole, PharmD, discusses the management of resistant hypertension. This is an excerpt from our December 2024 Pharmacy Essential Updates continuing education webinar series. The clinical resources mentioned during the podcast are part of a subscription to Pharmacist’s Letter, Pharmacy Technician’s Letter…
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