Tag: MDS 3.0

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 […]

Ask the expert: BIMS assessment

Q: Is it appropriate for a resident to have access to a visual cue (ie: a calendar) during the Brief Interview for Mental Status (BIMS) assessment?  It seems to me that the purpose of the assessment is to identify any deficits, even mild deficits the resident may be masking.  The MDS 2.0 User’s Manual indicates avoiding […]

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 […]

Payment rate changes: How will 2014 compare to this year?

On Wednesday, CMS released a proposed rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for 2014. According to CMS, aggregate payments to SNFs will increase by $500 million, or 1.4 percent, from payments in 2013. This estimated increase is attributable to the 2.3 percent […]

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 […]

CMS Releases Proposed Rule Featuring Payment Updates for 2014

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 and would revise and rebase the SNF market basket. This proposed rule also includes a proposed policy for reporting the SNF market […]

Ask the expert: Care plans

Q: We are having a large debate about care planning in our facility. Some people believe the basis of the care plan is to identify the resident’s care problems and plan actions, implement steps to care for those problems, and establish assessment dates, and then put MDS into the care plan. On the other side […]

Ask the expert: 100-day benefit periods

Q: Can a long term dialysis patient, who was in a skilled facility for rehab and then discharged home, have a new 100-day benefit period if she was not in a SNF or in the hospital for at least 60 consecutive days, even though she did continue to receive dialysis while at home? A: If […]