Just curious about how other states might audit the MDS for payment. Here in Minnesota it is usually one time a year.
dbsue1954 39 Posts Feb 19, 2009 here in indiana it is annual but they told me they have the option to come anytime. they are not strictly bound to annual.
catnip3 47 Posts Specializes in Long-term care, home health. Has 27 years experience. Feb 20, 2009 The UMR team from the Dept. of Health and Welfare come in quarterly. They used to do MDS reviews twice- 15 records one time, and 5 another (They focus on billing and OBRA also). Now, they review 20 records. If our results are good (I'm happy to report that they are!), they only do MDS review the one time a year.
gonenutz 28 Posts Specializes in LTC/SNF. Feb 21, 2009 In Indiana it is usually once a year but they have a 15 month window from your last audit to come in. If for some reason your CMI increases drastically or the notice anything odd in the patterns of your MDS submissions they can come in at anytime. Word is out though that Meyers and Stauffers is going to take over EDS' contract in the future. It is at least nice of them, they call the day before they come into the facility.
catnip3 47 Posts Specializes in Long-term care, home health. Has 27 years experience. Feb 23, 2009 Yes, thankfully UMR gives us a 1-2 week notice before they come in, and they give us a list of the MDS they will be reviewing.
gonenutz 28 Posts Specializes in LTC/SNF. Feb 23, 2009 We get a call the night before asking for a list of MI residents, traumatic brain injuries, stage 3 or 4 wound ( none thank godness) and a resident roster. No list of which MDS though. that would be nice.
Ruas61, BSN, RN 1,368 Posts Specializes in MDS/ UR. Has 41 years experience. Mar 1, 2009 Ours has a window too. They come unannounced.
