Category: MDS 3.0 Items

MDS 3.0 RAI User’s Manual Update: Expert analysis

The Centers for Medicare & Medicaid Services (CMS) recently released the MDS 3.0 RAI User’s Manual v1.11 Replacement Manual Pages and Change Tables and the RAI Manual v1.11 and Change Tables. The MDS 3.0 RAI Manual v1.11 Appendices A and F were also updated. In addition to the Manual changes, there are changes to the […]

CMS releases updated MDS 3.0 RAI User’s Manual

The Centers for Medicare & Medicaid Services released a revised version of the MDS 3.0 RAI User’s Manual. Effective October 1, 2013, this updated version incorporates clarifications to existing coding and transmission policy, integrates previously published Questions and Answers into the appropriate sections and addresses requested clarifications and scenarios concerning complex areas.

More MDS 3.0 Guidance, Transition Policies Released

The Centers for Medicare & Medicaid Services (CMS) released a memo that gives guidance on the transition plan for several policy changes that the new MDS 3.0 RAI User’s Manual update will cause. Addition of Distinct Calendar Days of Therapy Item to MDS 3.0 Policy Summary For all assessments with an assessment reference date (ARD) […]

CMS releases guidance about missing MDS 3.0 discharge assessments

On August 23, the Centers for Medicare & Medicaid Services (CMS) released a memo sent to state survey agency directors about MDS 3.0 discharge assessments that have not been completed and/or submitted. CMS states that the memo is intended to help surveyors understand: What nursing homes should do to address inactive residents remaining on their […]

Ask the expert: Documentation of life expectancy

Q: In order to code Section J1400 of the MDS “yes”, does the facility need documentation from the physician or hospice stating the resident has a life expectancy of less than six months or is just being on hospice sufficient? A: The facility needs documentation from the physician, not the hospice that a resident has a […]

Diving In Deeper: MDS 3.0 RAI User’s Manual Update

The Centers for Medicare & Medicaid Services (CMS) recently released a revised version of the MDS 3.0 Resident Assessment Instrument (RAI) User’s Manual. Let’s take an in-depth look at the changes, which were fairly minimal, according to Diane Brown, BA, director of postacute education at HCPro, Inc. The changes (which are underlined) were mostly clarifications […]

CMS releases updated MDS 3.0 RAI User’s Manual

The Centers for Medicare & Medicaid Services (CMS) recently released the RAI Manual v1.10 Replacement Manual Pages and Change Tables and the RAI Manual v1.10 and Change Tables. MDS 3.0 RAI Manual v1.10 Appendix B was also updated. The updated MDS 3.0 RAI Manual v1.10 was effective May 8, 2013. This version of the MDS […]

2014 SNF Proposed Rule Analysis: MDS item addition

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014. This rule also includes a proposed new item for the MDS Version 3.0. CMS will add MDS item O0420 Distinct Calendar Days […]

Ask the expert: Coding music therapy minutes

Q: When coding music therapy minutes in O0400F, can I include minutes for group therapy with four or less in the group, or can I only code individual minutes? The assessment, physician order, and care plan are all in place. A: The only information I could find on this is contained in the MDS 3.0 […]

MDS correction policy to be updated

CMS is revising the MDS correction policy outlined in Chapter 5 of the MDS 3.0 RAI manual. This revision is effective May 19, 2013. Prior to May 19, 2013, an inactivation request was required to address errors in the following items: A0200: Type of Provider A0310: Type of Assessment A1600: Entry Date (on Entry tracking […]