Harmony Healthcare Blog

MDS Interviews: Is your Coding Accurate?

Posted by Kris Mastrangelo on Thu, Jul 28, 2016

C.A.R.E.

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


The decision to complete a resident interview or a staff interview is guided by coding in Section B0700. When coding the gateway question for each interview (which asks if the interview should be conducted) the assessor should only code a dash (not assessed) if the ability to interview the resident was not assessed.
  •  When Section B0700 is coded as a 3-Never or Rarely Understood the gateway question should be coded as a no, and the interviewer should proceed with the staff assessment.
  •  When the patient is coded as a 0, 1, or 2 in Section B0700 the interviewer should attempt the resident interview. All answered questions should be coded, and the assessor should follow the instructions for incomplete interview for each interview section to determine if the resident interview should be followed by a staff interview.
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Topics: MDS Interviews, Coding

CMS Stresses Accuracy on MDS Interviews

Posted by Peter Mastrangelo on Wed, Jul 18, 2012

Today’s Medicare Minute we are going to talk about interviews on the MDS.  At the MDS National Convention CMS stressed the importance of interview accuracy on the MDS.  Unlike the MDS 2.0, MDS 3.0 has four structured interviews.  This includes the PHQ-9, which looks at the patient’s mood, The BIMS, which looks at the patient’s cognition, Activity preferences, and pain.  Each one of these interviews has a specific timeline in which they need to be completed.  The PHQ-9 should be honored before the ARD, the BIMS has a seven day look back, the activity preference interview has a seven day look back, and the pain interview has a five day look back.  In completing your interviews, you want to make sure you read the RAI Manual carefully, including Appendix D, because there are great tips and guidelines to make sure you get the most out of your interview process.   If you are signing sections that have interviews you might have to sign the MDS twice, once before the ARD for the interview and again after the ARD for the rest of the section.  Whatever your process is, you want to make sure that you have good systems set up so that not only are you getting the most out of your interview, but that you have got ARDs well managed so that interviews are timely. 

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Topics: CMS, ARD, RAI Manual, Medicare Minute, BIMS, PHQ-9, MDS Interviews

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