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

 

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. First SNF Quality Reporting due May 15 – 2% of Medicare Rate At-Risk

    CMS established the QRP for SNFs and other post-acute care providers based upon the requirements of the 2014 IMPACT Act. The main objective is to begin collecting common quality and patient data across post-acute providers. The SNF QRP will evaluate SNF performance on three defined ...

  2. Coding M0800: Worsening Pressure Ulcers

    In this section, we are asked to evaluate two very specific questions about any Stage 2, 3 or 4 pressure ulcers coded as “present” in M0300 on this assessment. 1.  Were any not present on the last OBRA or scheduled PPS assessment? 2.  Were any at a lesser numerical stage ...

  3. Coding M0700: Most Severe Tissue Type

    For M0700, we are to select the best description of the most severe type of tissue present in any pressure ulcer bed in the seven day look-back period. The choices are: 1.  Epithelial Tissue: New skin that is light pink and shiny (even in persons with darkly pigmented skin). In Stage 2 pressure ...