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 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. CMS Releases RAI Manual Errata Document V1.15R

    Section I: Diagnoses The coding instructions for I2300, Urinary Tract Infection, have been updated. As a review, UTI is the single diagnosis with unique coding rules, beginning on page I-8: Item I2300 Urinary tract infection (UTI): The UTI has a look-back period of 30 days for active ...

  2. Questions and Answers for Coding Opiods in Section N0410H

    N0410H, Opioid: 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). Question: Is Tramadol coded in N0410H as an opioid? Answer: Yes. Rationale: The RAI ...

  3. P0200: Alarms - Deeper Dive into Coding and Survey Implications

    One of the new MDS sections, P0200: Alarms, is now required on all OBRA assessments with assessment reference dates (ARD) of October 1, 2017 and later. The rationale for adding this section is closely tied to the new Requirements of Participation interpretative guidelines for resident-centered care (RAI Manual, Page P-8): While ...

  4. New RAI Manual Updates for October 1

    CMS released the updated RAI Manual on August 31, 2017 for use with Assessment Reference Dates (ARD) on or after Oct 1, 2017. There are two sections that are completely new, a new ADL algorithm, and some surprising ...

  5. Clearing Up the SNF Quality Reporting Program Confusion

    In the past several weeks, there have been a number of communications from CMS regarding issues, corrections, changes to reporting periods and implementation of the 2% payment reduction for “non-compliant” SNFs. In addition, CMS has finalized its changes to the program for FY2018 and FY2020. The result is a lot of ...