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. J2000: Prior Surgery – CMS Updates Coding Instructions

    After the RAI manual updates were released for October 2018, an errata document was posted to the CMS website concerning J2000: Prior Surgery. In the Coding Tips on page J-35, there were three ...

  2. LeadingAge Meets with CMS SNF QRP Staff

    CMS staff shared that less than 2% of the 15,191 Skilled Nursing Facilities(SNFs) received a noncompliance letter and of those that did, roughly 50% submitted a request for reconsideration and supporting documentation. CMS granted reconsideration for about half of those SNFs who requested it stating they had made a compelling ...

  3. FY2019 SNF VBP Incentive Payment Information Available

    The VBP Performance Score reports include a SNF’s performance score on the SNF Readmission Measure (SNFRM), their ranking against other SNFs, and their value-based incentive payment (VBIP) adjustment factor. The VBIP adjustment factor will be applied to all Medicare Part A claims for FY 2019. SNFs have 30 days ...

  4. 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 ...

  5. 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 ...