Harmony Healthcare Blog

ICYMI: The National Database MDS Resident Matching Process

Posted by The Harmony Team on Tue, Mar 19, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The MDS 3.0 Missing OBRA Assessment Report affords the provider an opportunity to validate regulatory compliance with OBRA regulations in completing and submitting MDS Assessments.  

The MDS 3.0 Missing OBRA Assessment report lists the residents in select facilities for whom the target date of the most recent OBRA assessment (other than a discharge or death record) is more than 138 days prior to the report run date. The report also includes residents for whom no OBRA record was submitted for a current episode that began more than 60 days prior to the report run date. The information included in the report is only as current as the date of the last submission by the facility.  Ideally, the queried report should depict “no data returned,” indicating that there no residents identified as having a missed OBRA assessment, as of the last submission and run date. 

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Topics: MDS Assessments

The National Database MDS Resident Matching Process

Posted by The Harmony Team on Thu, Jan 10, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The MDS 3.0 Missing OBRA Assessment Report affords the provider an opportunity to validate regulatory compliance with OBRA regulations in completing and submitting MDS Assessments.  

The MDS 3.0 Missing OBRA Assessment report lists the residents in select facilities for whom the target date of the most recent OBRA assessment (other than a discharge or death record) is more than 138 days prior to the report run date. The report also includes residents for whom no OBRA record was submitted for a current episode that began more than 60 days prior to the report run date. The information included in the report is only as current as the date of the last submission by the facility.  Ideally, the queried report should depict “no data returned,” indicating that there no residents identified as having a missed OBRA assessment, as of the last submission and run date. 

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Topics: MDS Assessments

MDS PPS Assessments Compliance (Part 2): Missed Assessments

Posted by Kris Mastrangelo on Thu, Jun 07, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As a continuation of Tuesday’s blog post, lets discuss missed assessments. The fundamental difference between a missed and late assessment is where the patient is at the time of the due assessment.  A late assessment occurs when the patient is still in the facility while a missed assessment occurs when the patient is no longer in the facility or denied Part A Benefits. 

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Topics: MDS Assessments

MDS PPS Assessments Compliance (Part I): Late Assessments

Posted by Kris Mastrangelo on Tue, Jun 05, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Harmony Healthcare International (HHI) performs monthly auditing, monitoring and educational services to the healthcare industry. During our on-site monthly audits, we hone in on MDS Assessments.  Compliance of MDS content accuracy and timeliness are critical focus areas as they impact care planning and reimbursement. 

The MDS contains over 1,000 data elements.  Precision requires constant focus and implementation of systems with inherent checks and balances.  

The most frequently asked questions on HarmonyHelp relate to the parameters for timely MDS Completion. 

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Topics: MDS Assessments

Combining OBRA and PPS MDS Assessments

Posted by The Harmony Team on Tue, Aug 01, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


It is common practice to combine the OBRA Admission Assessment with the PPS 5-Day or 14-Day Assessment when the time frames coincide for both required assessments.  This is allowable to avoid unnecessary duplication of effort.  In such cases, the most stringent requirement of the two assessments for MDS completion must be met. In addition, one assessment may satisfy two OBRA assessment requirements, such as and Admission and Discharge Assessment, or two PPS Assessments, such as a 30-Day Assessment and an End of Therapy OMRA. 

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Topics: ARD Schedule, MDS Assessments

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