Harmony Healthcare Blog

October 2013 MDS 3.0 RAI User’s Manual Updates

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Thu, Oct 10, 2013

On September 24, 2013, the Centers for Medicare and Medicaid Services (CMS) posted the RAI User’s Manual Updates that will be effective October 1, 2013.  Harmony (HHI) offers the following summary of the changes:

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Topics: MDS 3.0, RAI Manual

MDS 3.0 Basics; Revisiting Section M: Skin Conditions

Posted by The Harmony Team on Fri, Aug 24, 2012

This section, which is rich with information for the care planning team, has significant implications for survey, payment and publicly-reported information. Because of the significant regulatory and legal implications of assessment related to skin, education and training of staff and assurance of competency in skin assessment, including measuring and staging pressure ulcers is a must. The RAI User's Manual reminds us, "(i)t is imperative to determine the etiology of all wounds and lesions, as this will determine and direct the proper treatment and management of the wound."

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Topics: MDS 3.0, Section M, RAI, RAI Manual

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

CMS Posts MDS 3.0 RAI Manual Updates.......Again

Posted by The Harmony Team on Sun, Sep 25, 2011

Fasten your seatbelts as there are 6 days left (yes, only 6 days) until the Final Rule changes to the SNF PPS and RAI process go into effect.  Following a historical pattern, CMS posted additional changes and updates to the MDS 3.0 RAI manual on September 20, 2011.  The MDS 3.0 Training Materials web page states: Files that have changed are Chapter 2, Chapter 6, and Chapter 3, Section O. Previous files are not completely accurate and should be replaced with these immediately.

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Topics: CMS, MDS 3.0, RAI Manual

MDS 3.0 RAI Manual Changes

Posted by The Harmony Team on Fri, Sep 09, 2011

The Resident Assessment Instrument (RAI) User's Manual has been updated to reflect changes that take effect on October 1, 2011, the manual version is 1.07 (V1.07). Providers should take extra care to ensure that materials used after October 1st reflect this version of the RAI. Several chapters and appendices include only minor changes and edits however there are several significant changes that providers should make note of. Harmony has outlined some significant updates from Chapter 2 below and encourages clients to contact either their Harmony Consultant or the Corporate Office with any questions, including those regarding how to operationalize the changes.

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Topics: CMS, MDS 3.0, RAI, RAI Manual, PPS, ARD

CMS Publishes MDS 3.0 RAI Manual Updates

Posted by The Harmony Team on Thu, Jun 16, 2011

As of June 2, 2011 CMS posted multiple clarifications to the current MDS 3.0 RAI manual.  The CMS site which hosts pdf  files of the manual and MDS 3.0 subsets now contains newly updated Chapters and Appendixes.    

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Topics: CMS, MDS 3.0, RAI Manual

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