MDS Alert
CMS Unveils a New Draft MDS 3.0 Data Item SetWith ADL Changes and CATs
Find out 2 key differences in this latest version. The month of May proved to be a fruitful one for providing a preview of what's to come under the new RUGs and the MDS 3.0 that will drive it. The Centers for Medicare & Medicaid Services posted a revised draft item set for the MDS 3.0 in the same timeframe as the proposed SNF PPS rule debuting RUG-IV. In the new MDS 3.0 draft item set, CMS returns to the 2.0 methodology for scoring ADLs (self-performance and support), although there are some differences. The coding now includes a code of "7" for activity occurred only once or twice (see the draft ADL section on the next page of this issue). Although the proposed RUG-IV would do away with the rehab therapy projection, Section T is still on the MDS 3.0 draft, which consultant Pauline Franko, PT, MCSP, says she found surprising. RAPs Are Out, CATs Are In The draft 3.0 includes Care Area Triggers in lieu of Resident Assessment Protocols. The draft doesn't tell you what triggers the CATs or how they work, however, says Franko, president and owner of Encompass Consulting & Education LLC in Tamarac, Fla. The list of CATs "mirror the RAPs" but adds pain and return to community referral, she adds. CMS notes that the final MDS 3.0 version is slated for publication in October 2009. CMS cautions against using the draft for training. The MDS 3.0 is set for implementation on Oct. 1, 2010. Resource: To download the draft item set, visit www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp.
MDS Alert
- MEDICARE :
CMS Rolls Out New RUGs With Significant Changes
Extensive Services to include only vents, trachs, isolation for active infection. The proposed SNF PPS [...] - PPS Analysis :
Industry Insiders Highlight the Good, Bad and Unknowns to the Proposed RUG-IV
The ADL index range change could be a boon. Industry leaders view the proposed RUG-IV [...] - Brace for a Part A Payment Cut on Oct. 1
The case-mix adjustment recalibration is back. If you hoped the Centers for Medicare & Medicaid [...] - MEDICARE :
Take a Look at Part A Current Concurrent Therapy Now
The handwriting appears to be on the wall for this modality. When CMS expresses concerns [...] - RESOURCE :
Find Out How the New RUGs Break Out
Chart shows RUG-IV categories and ADL splits. - MDS 3.0 :
CMS Unveils a New Draft MDS 3.0 Data Item SetWith ADL Changes and CATs
Find out 2 key differences in this latest version. The month of May proved to [...] - ADL CALCULATION :
Take a Look at the Draft MDS 3.0 Revised ADL Calculation - RAI COMPLIANCE :
Get the Inside Skinny on Coding Skin Ulcers on the MDS
Follow these inside tips to boost accuracy. Painting an inaccurate picture of residents' skin ulcers [...] - PAYMENT TIP :
Is Your SNF Missing Out on RUG Payment forWounds or Rx?
If you don't code certain wounds or treatments, your payment may suffer. Your facility may [...] - DIAGNOSIS CODING :
Know How to Code Non-Pressure Type Ulcers in Section I3
Get it right with these key ICD-9 coding principles. Sometimes you have to think outside [...] - PAIN MANAGEMENT :
Meet and Exceed Residents' Pain Management Expectations
A 3-step approach will improve care and rein in your pain QMs. A cognitively intact [...] - MDS ACCURACY :
KnowWhen You've Entered the No-Code Zone
Master this short list to keep your RUG-III scores on the up and up. Is [...] - Proposed RUG-IV System :
Check Out Proposed RUG-IV Drivers for Special Care High and Low, and Clinically Complex
Special Care High includes residents with an ADL score greater than or equal to 2 [...] - READER QUESTIONS :
To Give an ABN or Not for a Part B Resident Who's Exhausted the Therapy Cap
Question: Should our facility give a beneficiary the CMS-R-131 when the resident has exhausted the [...] - READER QUESTIONS :
How to Code the Number of Meds at O1 Accurately
Question: What are the key mistakes facilities make in coding the number of medications at [...]
