Tag: RAI User’s Manual

Common deficiencies found in MDS 3.0 assessments

In a memo published November 4, CMS highlights common deficiencies and errors found among MDS 3.0 assessments in long-term care facilities. These inaccuracies are reflected in the results of the organization’s FY2015 MDS Focused Surveys. In total, 56 deficiencies (F-tags) were cited. The most frequently cited deficiencies include: F278 – MDS Accuracy F356 – Posted […]

Next generation ACO model launched from CMS innovation center

On March 10, the U.S. Department of Health and Human Services launched a new Accountable Care Organization (ACO) initiative from the Centers for Medicare & Medicaid Services (CMS) Innovation Center known as the Next Generation ACO Model. This model builds on the successes of earlier ACO models, such as the Pioneer ACO Model, and further […]

CMS will expand MDS focused surveys

Last year, CMS piloted MDS focused surveys to evaluate the effectiveness of practices associated with MDS coding accuracy, accurate MDS-based reimbursement levels, and dementia care. Due to the results of the MDS focused surveys revealing inaccurate staging and documentation of pressure ulcers, lack of knowledge regarding the classification of antipsychotic drugs, and poor coding of restraint […]

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.

Ask the expert: Entry tracking record

Q: We had a resident admitted at 12:30. She became combative and was sent back to the hospital at 17:00. She was a skilled placement and the hospital sought other placement for her due to her volatile nature and the fact that our medical director would not accept her back. Do I need to fill out […]

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 […]