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MDS 3.0 RAI revised Also, note a reprieve from the very stringent correction policy - Inactivation/Modification revision

Most dictionary defines “walk” “to proceed through, over, or upon at a moderate pace on foot; move by advancing the feet alternately so that there is always one foot on the ground in bipedal...

Did a physician document a "life expectancy of less than 6 months?" There is a very good reason the therapist is leary about providing therapy. Read all the conditions here p28-29 necessitating need...

Assuming there are 14 Med A benefit days available, the Return/Readmission will pay until 5/8 so there is no need for another PPS assm't. If an OBRA MDS is due or a Sig. Change had occurred complete...

1 - enabler 2 - neither 3 - neither Regardless the effect, a facility should have a policy in place with the IDCP team involvement. This is is an excellent Device Decision Tool and Care Planning...

If a resident is discharged return anticipated, returns within 30 days, and does not meet the criteria for SCSA, you can reset the Quarterly ARD. (See RAI, p2-29 Assessment Management...

There is no need to make a correction. You meet the "exception" to the rule of Missed Assessment (see RAI p 6-54) Use the RUG category generated by the OBRA Adm MDS using the same HIPPS code 60 to...

If the 5-day RUG is non-Rehab, no need for the EOT. The SOT/14-day will be paid from day of therapy re-eval (2/8) If it's a Rehab RUG, there are two possible options depending on the resident's...

Some examples of direct skilled nursing services are: Intravenous or intramuscular injections and intravenous feeding; Enteral feeding that comprises at least 26 percent of daily calorie...

MDS 3/20 – Entry (valid) 3/26 – 5-Day (valid) 3/26 – DC tracking (invalid) 3/28 – Reentry tracking (invalid) 4/4 – 5-Day, should be Readm/Return (invalid) 4/14 – 14-Day (invalid) 4/28 – 30-day...

The Midnight rule exception - 40.3.5 - Determine Utilization on Day of Discharge, Death, or Day Beginning a Leave of Absence RAI, p2-70 Resident Expires Before or On the Eighth Day of SNF...

Including Z as one of the sections completed just because a discipline simply entered his/her signature, ‘though not erroneous, is not necessary. If your facility asks for it, do so. Multiple...

If you're completing MDS in hardcopy, yes. If you're completing the MDS electronically, most paid softwares auto-fill these fields in default on subsequent assm'ts. Even if resident was not...

What you do with the date changes in your system is but a facility practice. It has nothing to do with MDS's Entry Date. Entry Date defined, Appendix A-6... Suffice it to say, if there is no...

It has to do w/ the start of the payment period. If the COT ARD is Dec. 7, RUG payment of the COT begins on Dec. 1st (day 1 of COT) and will extend to the end of the payment period of the...

According to the RAI G-31, "This item is coded in terms of function and risk of injury, not by diagnosis or lack of a limb or digit." In which case, code 0 Hence, code 2 Yes. See G-31...

As long as the guideline for sig. change is met, yes. The ARD must be set no later than 14 days upon the identification of a sig. change. And as a reminder, payment begins on the set ARD.

The RAI does not specify which classes of antibiotics to include or exclude. Thus, if a drug is ordered by the MD specifically to inhibit or destroy the growth of a microorganism, then it is an...

If this is not a PPS assm't, this is a viable approach ('tho opened to interpretation). Use the actual ARD it was due but complete and sign today's date (attesting all info entered was derived from...

New Updated MDS 3.0 RAI Manual and sample Item Sets, V1.09, effective November 7, 2012

If you're capturing a Rehab RUG w/ the 5-day, the SOT is not necessary since the therapy rate will be paid from day 1 of the resumed SNF stay. The SOT will only be rejected.

No, do not make any correction. Like I said above if your ARD was indeed early you will only lose a day of the actual RUG rate. If there is an upcoming PPS assm't, apply the skip day then. If you...

There is nothing you can do (or should do) once it’s submitted. As long as the succeeding PPS’ ARD fell within the adjusted window, you should be fine. Worst case scenario the ARD was scheduled 1 day...

Once the assessment is accepted, you cannot submit a correction to modify the ARD. You can only inactivate. If today's date is still within the ARD window of the PPS assm't and will allow you to...

What was the RUG score when you submitted it? "played w/ ARD a few times" - Were they still within the acceptable ARD window (incldg. grace days) when they did that? Who signed Z0500? Not...