Tag: MDS

Ask the expert: 5-day assessment

Q: Is it necessary to complete an admission assessment and a separate 5-day assessment for residents with managed care that require RUGs for billing?  Since the admission assessment contains the same item set as the 5-day assessment is that enough for billing? A: Your software vendor should be able to assist you with this question. Technically, […]

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 […]

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 […]

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: Change of therapy and assessment reference date

Q: A change of therapy (COT) is for the date February 5. I thought I opened it in the software. Can I open this assessment on February 14 and complete it that day without taking a default, and is there a time limit? A: I’m assuming from your question that February 5 should have been […]

Ask the expert: Changing of payers and PPS schedule

Q: I have always been instructed that if someone changes skilled payers, such as from a Medicare Advantage Plan to regular Medicare Part A, that the PPS schedule has to be restarted.  Someone asked me where to find the documentation for this, and I am having difficulty locating this. Can you please give me some […]

Ask the expert: Quarterly ARD

Q: I have a resident who had a quarterly assessment reference date (ARD) of February 8, 2013. She was admitted to the hospital on February 6 and returned on February 8. What would be her ARD for the quarterly assessment? A: There are choices that the facility can make when these situations occur. The very […]

Ask the expert: Coding for an unstageable area

Q: A resident is admitted with a cast on leg in October, cast removed on 12/5/12, noted with an unstageable area on ankle. How do we code it on the MDS? A: When the MDS is completed, if the pressure ulcer is still unstageable, then that is how it should be coded on the MDS.

AHCA issues 2012 Annual Quality Report

The American Health Care Association (AHCA)  issued its annual Quality Report, which informs members, policymakers, and the public on advancements in quality care that stem from the more than 11,000 member facilities nationwide. “Improving Lives by Delivering Solutions for Quality Care” is the stated AHCA mission. In partnership with the National Center for Assisted Living, […]