Harmony Healthcare Blog

SNFs Guide to Understanding Admission Dates on the MDS

Posted by Beckie Dow on Thu, May 21, 2015

Admission Dates A1600, A1700, and A1900 on the MDS

Section A of the MDS 3.0 Assessment provides the assessor with the opportunity to record information about the start date of the current SNF stay and the current episode of a stay.  If these dates do not agree in a logic check performed by the software there will be an error message and the assessment will not be able to be closed until the logic conflict has been resolved.  This is often termed a "warning message", and it is in place to assist providers to correct logic conflicts prior to submitting assessments to the QIES ASAP in order to decrease the number of rejected assessments during submission.

Read More

Topics: MDS 3.0, OBRA, MDS 3.0 Assessment Schedules, Assessment Schedules, Admission Dates

Rehab Case Management for Case Mix

Posted by Peter Mastrangelo on Wed, Jul 25, 2012

Successful case management for Case Mix involves the coding of the accurate minutes of care provided by therapy on the MDS for those patients seen under Medicare Part B. There is significant opportunity to increase the case mix index with the intervention of rehabilitation during the appropriate assessment windows.  Increased communication between the Rehabilitation staff and the MDS Coordinator regarding patients receiving Medicare Part B services has the potential to increase the case mix index in two ways. 

Read More

Topics: Rehab, Medicare Part B, Case Mix, OBRA, Assessment Schedules, Rehab Case Management, MDS Coordinator

Case Mix as a Medicaid Reimbursement System

Posted by Peter Mastrangelo on Wed, Jun 20, 2012

Case Mix - Medicare Minute

Read More

Topics: Medicare, Medicaid, Case Mix, OBRA, MDS, PPS, MDS assessment, Medicaid Reimbursement

MDS 3.0 Data Included in QCLI Dictionary

Posted by Peter Mastrangelo on Tue, Dec 13, 2011

In late October, CMS announced and posted a revised Quality of Care and Life Indicator (QCLI) Dictionary which includes 28 MDS 3.0-based QCLI as well as 84 from other sources. Used in the Quality Indicator Survey (QIS), QCLIs are resident-centered outcome and process indicators which are calculations comprised of MDS data as well as data collected by the surveyors during their on-site Stage I activities (i.e., staff, family and resident interviews, resident observations and medical record reviews). After completion of Stage I, the facility's QCLIs are compared with predetermined norms (called thresholds) to determine what areas will be focused on in Stage II of the QIS.
Read More

Topics: CMS, OBRA, MDS 3.0

Case Mix Assessments

Posted by Kris Mastrangelo on Fri, Jun 18, 2010

Case Mix Assessments:  There is significant opportunity to increase the case mix index with the intervention of rehabilitation during the appropriate assessment windows.  Increased communication between the rehabilitation staff and the MDS Coordinator regarding patients receiving Medicare Part B services has the potential to increase the case mix index in two ways. 

Read More

Topics: Case Mix, OBRA, ARD

Increase your Case Mix Index Tip #6

Posted by The Harmony Team on Mon, Jun 07, 2010

Increase your CASE MIX INDEX TIP #6

Case Mix:  There is significant opportunity to increase your case mix index with the intervention of rehabilitation during the appropriate assessment windows.  Increased communication between the rehabilitation staff and the MDS Coordinator regarding patients receiving Medicare Part B services has the potential to increase the case mix index in two ways. 
Read More

Topics: Case Mix, OBRA, Medicaid Reimbursement

Identification of Therapy Candidates in a SNF

Posted by Elisa Bovee on Wed, Jun 02, 2010

Identification of Therapy Candidates in the SNF
 
Rehabilitation Therapists are integral members of the interdisciplinary team as is their participation in the process of resident assessment to choose an Assessment Reference Date.  The routine therapy screen assists in identifying areas of decline or the potential for improvement, before loss becomes permanent or opportunities for improvement are missed. 
 
It is appropriate to perform routine therapy screenings.  While quarterly screens are optimal, a screen should be completed no less than annually.  The proactive timing of screens may positively impact resident function; Medicaid reimbursement as well as the Facility Quality Indicators in risk indicators.
 
Optimal scheduling of routine screens involves completing the screen in conjunction with the OBRA assessment.  It is beneficial to complete the screening process 2 weeks before the scheduled Assessment Reference Date in order to coordinate services as indicated.  This valued intervention is supported in regulations (F406:  §483.45 Specialized Rehabilitative Services). 
 
It is important to note that an MDS assessment may be done early but never beyond the 92 days allocated.  There is the option of also completing an additional assessment as the RAI Users Manual indicates that Quarterly assessments are to be completed minimally 3 times per year following a comprehensive assessment.
 
In order to obtain maximum impact for these delivered therapy services, an Assessment Reference Date needs to be planned and set to capture:  At least 150 minutes of therapy per week:  1 therapy  5 days/week or 5 days of therapy across 3 disciplines.

Read More

Topics: CMS, RAI, ARD, OBRA, Reimbursement

AANAC MDS Certification Program

Posted by Kris Mastrangelo on Wed, Jun 02, 2010

AANAC MDS Certification COURSE CONTENT

Read More

Topics: AANAC, PPS, Quality Measures, Quality Indicators, OBRA, MDS

Subscribe to The HHI Blog

Posts by Topic

see all
harmony18
ICD-10 - Is Your Staff Ready? Download Our ICD-10 On-Demand Webinars Today

Stay connected!

Instagram