CMS stated very clearly from the infancy stages of development of the MDS 3.0 that this tool is designed to capture the patient's voice as well as interdisciplinary findings. There are a number of sections on the MDS 3.0 tool that can be influenced and impacted by the consultation and provision of skilled therapy services. Education for the Medicare team should be on-going to review the coding instructions for the MDS. Misinformation regarding the coding elements on the MDS can lead to inaccurate reimbursement under both Medicare and Medicaid programs as well as risk for non-compliance under Medical Review. Inaccurate coding of the MDS can also have serious survey implications.