Minimum Data Set (MDS) 3.0

The minimum data set (MDS) is a tool for implementing standardized assessment and for facilitating care management in nursing homes (NH) and non-critical access hospital swing beds (SB). The new MDS 3.0 has been designed to improve the reliability, accuracy, and usefulness of the MDS, to include the resident in the assessment process, and to use standard protocols used in other settings.

In addition to ongoing updates on MDS, LeadingAge offers provider members the ability to ask an expert your specific questions. Questions are answered within a few business days. 

Featured Content  

CMS Adds Three MDS-based Quality Measures to the Casper Reports

Quality Measures now on Casper Report.

CMS Releases RAI Manual Errata Document V1.15R

CMS has released replacement pages for the RAI Manual with changes in three key sections of the MDS.

Questions and Answers for Coding Opiods in Section N0410H

Record the number of days an opioid medication was received by the resident at any time during the 7-day look-back period (or since admission/entry or reentry if less than 7 days).

Discussion of the Interpretative Guidelines for F655, Baseline Care Plan

As expected, CMS has released the interpretative guidelines (IG) for new regulations that will be effective for surveys after Nov 28, 2017. One completely new requirement concerns the baseline care plan. The IG have a few points all providers need to understand and implement.

New Category of Reports Available through the Casper Reporting System

This guide explains how the SNF-QRP measures are calculated, both MDS- and claims-based measures.  It shows the calculator fields for the MDS-based measures that must not be dashed on the MDS. 

Coding Pressure Ulcers on the MDS

Coding pressure ulcers on the MDS can be confusing. This article explains how to determine which pressure ulcers to code in which items in Section M. 

Section GG: Latest News

Section GG is now required on the PPS 5 day MDS and on qualifying Part A PPS Discharge Assessments.  As with all new things, questions remain. Following is a list of the most frequent recently raised member questions members.

LeadingAge Offers Thoughts on Cardiac Bundles

LeadingAge submitted a comment letter to CMS October 3 requesting amendments to the proposed rule expanding episodic payment models.

Coding Section GG: Functional Abilities and Goals

Medicare Part A stays that begin October 1, 2016 and beyond will require a new MDS section on the PPS 5 day assessment and the Part A PPS Discharge Assessment.

Final Manual Published – RAI Updates

The final RAI manual has been published by CMS with some substantive changes from the previous draft.

New MDS-Based Quality Measures on Nursing Home Compare: MDS Coding Primer

In April CMS introduced two new MDS-based quality measures to NH compare.  These will be phased in to the Five Star Rating System by January 2016.  These measures are calculated using two ADLs in G0110 that have not been used before.  Judy Wilhide Brandt, RN, reviews the coding for these new measures

  1. Coding J1400 Prognosis

    Section J1400 has one question that is answered yes or no: Does the resident have a condition or chronic disease that may result in a life expectancy of less than 6 months? According to Page J-23 of the RAI manual, this question is on the MDS because these residents have special needs and may benefit from palliative ...

  2. Quality Care Area Assessments Lead to Better Outcomes through Care Planning

    Chapter 4 of the RAI Manual is one of the least read and most important for quality outcomes. It is an in-depth discussion of the CMS expectations for care planning in long-term care, and it contains excellent training and examples of how to conduct a thorough assessment to come to the correct care plan problem. If the problem ...

  3. SNF PPS Proposed Rule: LeadingAge Developing Comments

    In addition to payment updates, changes to the SNF Value-based Payment program and SNF Quality Reporting program, and an opportunity to influence what is excluded from consolidated billing in the future, the proposed rule also includes a proposal for a comprehensive change to how SNFs are paid called the patient drive payment ...

  4. Side Rails and the MDS 3.0

    In the new Long Term Care survey requirements, there are new requirements for proper documentation of the use of any type of side rail but the coding requirements for Section P0100A have not changed. No device is coded in P0100 unless it meets the definition of a physical restraint. Physical ...

  5. CMS Adds Three MDS-based Quality Measures to the Casper Reports

    Three Quality Measures that have been posted on Nursing Home Compare for two years are now available on the Casper Quality Measure Reports. CMS has also updated Section 11 of the Casper User’s Guide to reflect this change. The reports affected ...