MDS Alert
What Do You Think?
How Does the Clinical Change Assessment Compare to the Significant Change in Status Assessment? Answer: "The clinical change assessment is like the significant change in status assessment -- it essentially does the same thing," says Sherri Robbins, BSN , RN, supervising consultant with KD LLP in Springfield, Mo. "Swing bed providers don't have to do any of the OBRA-required assessments, however. Swing bed providers don't have to complete Section V or any of the Care Area Assessment and care planning required of SNFs. Their care planning is completed just as it is for their acute patients in the hospital. "The assessments swing-bed [providers] do are for payment purposes only," adds Robbins. Yet even though the MDS 3.0 is "pared down" for swing bed providers, "it's still significantly more than they were required to do under the MDS 2.0." What Counts as Non-Pharmacological Pain Interventions for Coding Section J? Answer: According to the RAI User's Manual, says Sherri Robbins, BSN, RN, the following applies: "Scheduled and implemented non-pharmacological interventions include, but are not limited to: biofeedback, application of heat/cold, massage, physical therapy, nerve block, stretching and strengthening exercises, chiropractic, electrical stimulation, radiotherapy, ultrasound and acupuncture. Herbal medications are not included in this category." "You should also include the intervention as part of the care plan," says Robbins.
MDS Alert
- MDS 3.0 Update:
Got MDS 3.0 Questions? CMS Officials Shed Light on These Key Areas
The agency plans to analyze providers' suggestions for eliminating duplication. The MDS 3.0 rolled out [...] - Pressure Ulcer Coding:
MDS 3.0 RAI Manual Instructions for Coding Decubiti Trump NPUAP Guidelines
But you can use both systems, as some facilities did for the MDS 2.0. The [...] - M0300G:
Unstageable Pressure Ulcers Related to Suspected Deep Tissue Injury
Check out these 4 coding tips. Once suspected deep tissue injury has opened to an [...] - Know the Ins and Outs of the Short-Stay Assessment for Rehab Patients
Your SNF could lose $$ big-time if you are unaware of this key point. Section [...] - Payment Trends:
2 Reasons Why Use of Medicare Short-Stay Assessment May Be Limited
The short-stay policy is no Section T. The short-stay assessment for rehab patients may not [...] - Tool:
CMS Algorithm Spells Out 8 Requirements for Doing a Short-Stay Assessment - Tool:
Use This Chart to Stay on Top of the RUG-IV ARDs - Compliance:
Beware: The OIG Work Plan Is Chock-Full of Compliance Hot Spots
The list includes MDS accuracy, hospitalizations, potential False Claims Act actions, and more. If your [...] - Best Practices:
Make Activities a Key Part of Behavioral Care Plans
Find out how potatoes helped put an end to a resident's aggression. If you don't [...] - Compliance Tip:
Rehab Low May Be a Good Clinical Fit In This Scenario
Meet residents' needs and sidestep potential medical review woes. Medicare has always had a tendency [...] - Test Yourself:
When Are Antipsychotics Indicated?
Find out how people watching a CMS surveyor training webinar answered this question. Antipsychotics would [...] - What Do You Think?
How Does the Clinical Change Assessment Compare to the Significant Change in Status Assessment? Answer: [...] - Survey & Compliance News
CMS has updated survey forms to reflect the MDS 3.0. The CMS-802 (roster/sample matrix) form [...] - Answer and Poll Results to Test Yourself Question on Page 130
Correct answer: D (none of the above): 70 percent of people watching the CMS surveyor [...]
