Harmony Healthcare Blog

CMS Stresses Accuracy on MDS Interviews

Posted by The Harmony Team 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, RAI Manual, BIMS, Medicare Minute, ARD, PHQ-9, MDS Interviews

MDS Interviews - Medicare Minute

Posted by The Harmony Team on Thu, Mar 29, 2012

MDS Interviews - Medicare Minute

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Topics: BIMS, ARD, MDS Accuracy, PHQ-9, Interviews

MDS 3.0 Coding Cognitive Patterns

Posted by The Harmony Team on Wed, Jun 02, 2010

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.  

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Topics: MDS 3.0, BIMS, Cognitive Patterns

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