Melinda Renshaw|RN|RAC-CTA|LNHA|Revenue Integrity Specialist
The MDS Guru
Helpful tips and tricks for the MDS/ LTC Reimbursement Professional
Author
Melinda Renshaw|RN|RAC-CTA|LNHA|Revenue Integrity Specialist
Category
Podcast website
Latest episode
Jul 9, 2026
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Episodes
The MDS Guru - Episode 82 - The SNF 3 Day Waiver 09.07.2026 4:36
Send us Fan Mail Do you understand Medicare's 3-day Rule Waiver? Does your admissions team know how the ACO models of REACH & TEAM work?
The MDS Guru - Episode 81 - A Legacy of Leadership - an Interview with Rebekah Lucas 08.06.2026 28:48
Send us Fan Mail What lessons from decades of leadership in aging services still apply today? How can we prepare for the future of senior living while managing today's demands? www.renshawconsulting.com
The MDS Guru - Episode 80 - IDT Note Requirement Clarifications & MO Medicaid Review Frequency 28.05.2026 4:46
Send us Fan Mail Starting July 1st, how often will MO Medicaid audit your facility? When is the IDT note due?
The MDS Guru - Episode 79 - NO PROGRESS, NO THERAPY? KNOW WHEN TO STOP THERAPY. 14.04.2026 9:42
Send us Fan Mail Stop guessing: When should I take my resident off of therapy? SKILLED NEED VS PROGRESS PLATEAUS
The MDS Guru - Episode 78 - SNF ABN|NOMNC|ABN & FALL DEFINITION CHANGES + MAJOR ANNOUNCEMENT 11.03.2026 5:37
Send us Fan Mail When to issue a SNF ABN vs a NOMNC or ABN? What are the changes to the definition of a fall?
The MDS Guru - Episode 77 - The SFF Criteria Change & The QRP APU Trap-When One MDS Counts as 2 12.02.2026 5:19
Send us Fan Mail What could get my facility terminated from the Medicare/Medicaid program? How does the 5-day PPS MDS count as two assessments for the QRP APU?
The MDS Guru - Episode 76 - The Updated SNF Validation Process (AUDIT) Timeline Shift 08.01.2026 4:39
Send us Fan Mail What happens if we are late submitting the medical records? How will I know if my home is selected?
The MDS Guru - Episode 75 - The Many Look Back Periods on the MDS 29.12.2025 5:25
Send us Fan Mail The MDS has several look back periods. Do you know what they are?
The MDS Guru - Episode 74 - How Will the Missouri Medicaid CMI Be Calculated When New Assessments Are Not Supported In 2026 22.12.2025 3:39
Send us Fan Mail Do the assessments automatically drop to .62 CMI if they are not supported? Do you know what a hierarchical method of CMI classification is?
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) 15.12.2025 4:48
Send us Fan Mail What new item will stop the antipsychotic med (L) QM from triggering? What is the updated RAI definition regarding a fall?
The MDS Guru - Episode 72 - How To Claim Isolation for Covid on the MDS 08.12.2025 4:23
Send us Fan Mail What is needed in my documentation for Covid to claim isolation on the MDS? What if my MDS interview signatures are late?
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 01.12.2025 5:15
Send us Fan Mail 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?
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 Physically Restrained QMs 17.11.2025 4:28
Send us Fan Mail 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?
The MDS Guru - Episode 69 - % of Residents Who Use Antianxiety or Hypnotic Meds(L) & Prevalence of Antianxiety/Hypnotic Use(L) QMs 10.11.2025 3:29
Send us Fan Mail 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?
The MDS Guru - Episode 68 - % of Residents With Depressive Symptoms(L) & Residents Ability to Walk Independently Worsened(L) QMs 27.10.2025 5:57
Send us Fan Mail What makes the depression symptoms QM trigger? What if my resident is hospice and stops walking?
The MDS Guru - Episode 67 - Residents Experiencing One or More Falls With Major Injury (L) & Residents Who Lose Too Much Weight (L) QMs 20.10.2025 4:08
Send us Fan Mail 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?
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 13.10.2025 4:22
Send us Fan Mail How can I get this foley to not trigger? And this UTI? Should I capture this on the MDS?
The MDS Guru - Episode 65 - The Missouri Medicaid Draft Listing Mix-Up 06.10.2025 2:56
Send us Fan Mail We uncover how dually eligible residents should be listed on your draft rate corrections for Missouri. Are you losing CMI from part A residents?
The MDS Guru - Episode 64 - MANHA's Executive Director Speaks 29.09.2025 16:00
Send us Fan Mail 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.
The MDS Guru - Episode 63 - A Reimbursement Reality Check: A SNF Administrator's Perspective 04.08.2025 20:06
Send us Fan Mail 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.
The MDS Guru - Episode 62 - The Need for Help with Daily Activities has Increased (L) QM 28.07.2025 4:16
Send us Fan Mail 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
The MDS Guru - Episode 61 - The Antipsychotic Med (L) QM 21.07.2025 3:55
Send us Fan Mail What can I do about this long stay QM flag? What are the exclusions? How can I get my provider to stop using these?
The MDS Guru - Episode 60 - The Pressure Ulcer (L) QM 09.07.2025 4:39
Send us Fan Mail Why is this pressure sore from December listed on my January QM report?
The MDS Guru - Episode 59 - The Admission Function Score 23.06.2025 3:47
Send us Fan Mail Do you know what the entry/admission function score is? It is part of the Discharge Function Score. Tune in now!
The MDS Guru - Episode 58 - Section I Diagnosis Coding and Reporting Nurses to the State Board for Coding 16.06.2025 7:04
Send us Fan Mail Let's talk about section I diagnosis coding. How do we not get into trouble?
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