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 Risk for Pressure Ulcers on the MDS: M0100 and M0150

    M0100: Determination of Pressure Ulcer/Injury Risk This is the first item in Section M, Skin Conditions and it simply requires checking all boxes that apply in the seven-day look-back period. The choices are: Resident has a stage 1 or greater, a scar over a bony prominence, or a non-removable ...

  2. Guidance for Coding Weight Loss on the MDS

    The coding instructions for section K0300 sound simple but may not be upon closer inspection. From the MDS 3.0 RAI Manual: "This item compares the resident's weight in the current observation period with his or her weight at two snapshots in time: At a point ...

  3. RAI Manual Revision

    CMS published an errata document for the RAI Manual in February concerning coding the Pain interview and staff assessment in Section J0300-J0850. ...

  4. Coding Risk for Pressure Ulcers on the MDS: M0100 and M0150

    M0100: Determination of Pressure Ulcer/InjuryRisk This is the first item in Section M, Skin Conditions and it simply requires checking all boxes that apply in the seven-day look-back period. The choices are: Resident has a stage 1 or greater, a scar over a bony prominence, or a non-removable dressing/device. Formal ...

  5. New Report Shows SNFs If They Are at Risk of a 2% Rate Penalty

    The report shows SNFs if they are meeting the 80% reporting threshold requirement on the SNF QRP measures during a calendar year.  Failure to meet this threshold can result in a SNF having its Medicare Fee-For-Service rate reduced 2% in the forthcoming fiscal year.  For this reason, SNFs should ...