MDS 3.0 Coding Cognitive Patterns
If you have not read the new RAI Manual for MDS 3.0 chapters published on the CMS website, you still have plenty of time. In reading chapter 3 you will find significant changes to coding instructions. Section C: Cognitive Patterns now requires facilities to determine whether the BIMS should be conducted. The BIMS (Brief Interview for Mental Status) found on page C-2 of the RAI Manual for MDS 3.0 should be conducted if the resident can respond verbally or by writing out the answers. The RAI manual warns that without an attempted structured cognitive interview, a resident may be mislabeled based on appearance or assumed diagnosis. Facilities need to coordinate assessments of cognitive function with occupational and speech therapy team members when a patient is identified as having a cognitive barrier to communication or independence with daily task completion.