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Case Mix ID, RUG-IV 48 Grouper
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Help Center
MDS
Compliance
Auditing and Monitoring
Compliance Manual
Compliance Officer Services
Elder Justice Act
HIPAA
OIG (Office of Inspector General)
Policy and Procedure Development
FAQ
Auditing and Monitoring
ABN and NOMNC
Appeal Letter Samples
Targeted Probe and Educate (TPE)
Quality Measure Auditing and Monitoring
ZPIC (Zone Program Integrity Contractors)
Regulatory
Casper Report Analysis
Five-Star
Forms
JIMMO vs Sebelius Act
MDS Completion
MDS Transmission
Medications - Clinical
OIG (Office of Inspector General)
PEPPER
Re-Admission NQF
Trauma
Value-Based Purchasing (VBP)
FAQ
PBJ (Payroll-Based Journal)
Medicare Part A
Advance Directive
Rehabilitation
Inpatient Rehabilitation Facility
Reimbursement
Appeals and Denied Claims Management
Bundled Payment
Case Mix - CO, RUG-III 34 Grouper
Case Mix CT- (Not Case Mix)
Case Mix DC, RUG-IV 48 Grouper
Case Mix GA, RUG-III 34 Grouper
Case Mix HI, RUG-III 34 Grouper
Case Mix ID, RUG-IV 48 Grouper
Case Mix IL, RUG-IV 48 Grouper
Case Mix IN, RUG-IV 48 Grouper
Case Mix IA, RUG-III 34 Grouper
Case Mix KS, RUG-III 34 Grouper
Case Mix KY, RUG-III 34 Grouper
Case Mix LA RUG-III 34 Grouper
Case Mix ME, RUG III 44 Grouper
Case Mix MA, RUG-IV 48-Pending
Case Mix MS, RUG-IV 48 Grouper
Case Mix NH, RUG-IV 48 Grouper
Case Mix NY, RUG-III 53 Grouper
Case Mix NC, RUG-III 34 Grouper
Case Mix OR- (Not Case Mix)
Case Mix PA, RUG III 44 Grouper
Case Mix TX, RUG-III 34 Grouper
Case Mix VT, RUG-IV 48 Grouper
Case Mix WA, RUG-IV 57 Grouper
Case Mix
Consolidated Billing
Final Rule
Home Care
Medicaid
Medicare
Medicare Part A
Medicare Part B
MMQ
Part B Caps
PDPM
Proposed Rule
RCS (Resident Classification System)
RUGs
Telehealth
Value-Based Purchasing
FAQ
Education
Education and Training
Forms
MMQ
PowerPoints 2021
Profiles
Regulatory
SNF QRP (Skilled Nursing Facility Quality Reporting Program)
Tests and Answer Keys
Tools
When
FAQ
What
Efficiency
Respiratory Therapy
Survey
CMP (Civil Money Penalty)
F-Tag
Facility Assessment
Five Star Quality Rating
Five Star Quality Rating System Analysis
IIDR (Independent Informal Dispute Resolution)
Infection Control
Mock Regulatory Survey
Payroll Based Journal (PBJ)
State Operations Manual (SOM)
Survey Pathways
Visitation Guidance
FAQ
Special Focus Facilities (SFF)
COVID-19
Articles
CDC Updates from February 5, 2021 and Later
CLIA (Clinical Laboratory Improvement Amendments)
Employer's Guide to COVID-19 – HR Toolkit CGI Business Solutions
FEMA
Group Activities - COVID-19
Infection Control
PPE (Personal Protective Equipment)
Quarantine and Isolation Guidelines COVID-19
Reopening COVID-19
Restrictions COVID-19
Survey Resources COVID-19
Testing COVID-19
Treatment COVID-19
Vaccinations COVID-19
Visitation COVID-19
Waivers COVID-19
Immunizations COVID-19
Manual
Appendix Q: Immediate Jeopardy
Appendix PP (Phase II- F-Tag)
Appendix PP (SOM): F-Tag
Compliance Manual
Consolidated Billing
ICD-10
Five-Star
Manuals (Medicare and Rehabilitation)
MDS 3.0
Medicare Manual
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MMQ Manual
PBJ
PEPPER
Proposed Rule
Quality Measures Manual
RAI Manual
Rehabilitation Manual
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State Operations Manual (SOM)
Survey
Swing Bed Manual
Trauma Informed Care Manual
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MDS
Item Sets
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Quality Measures
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Section G
Section GG
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MDS
MDS 3.0 FY 2023 DRAFT 12.23.2022
MDS Transmission Timeframes 10.3.19 Reimbursement
MDS PPS Assessments Compliance (Part I) 6.5.2018
MDS 3.0 Frequency Report 3rd Quarter 12.5.17
Item Sets
MDS 3.0 Interim Payment Assessment (IPA) Item Set Effective 10.1.2019
MDS 3.0 Nursing Home Discharge (ND) Item Set Effective 10.1.2019
MDS 3.0 Nursing Home Comprehensive (NC) Item Set Effective 10.1.2019
MDS 3.0 Item Set Change History for October 2019 Version 1.17.1
MDS 3.0 Interim Payment Assessment (IPA) Item Set DRAFT Effective 10.1.2020
MDS 3.0 Optional State Assessment (OSA) Item Set DRAFT Effective 10.1.2020
MDS 3.0 Nursing Home Comprehensive (NC) Item Set DRAFT Effective 10.1.2020
MDS 3.0 Nursing Home PPS (NP) Item Set Effective 10.1.2019
MDS 3.0 Optional State Assessment (OSA) Item Set Effective 10.1.2019
MDS 3.0 Nursing Home and Swing Bed Tracking (NT/ST) Item Set Effective 10.1.2019
MDS 3.0 Swing Bed Discharge (SD) Item Set Effective 10.1.2019
MDS 3.0 Swing Bed PPS (SP) Item Set Effective 10.1.2019
MDS 3.0 Nursing Home Quarterly (NQ) Item Set Effective 10.1.2019
MDS 3.0 Nursing Home Comprehensive (NC) Item Set DRAFT Effective 10.1.2017
MDS 3.0 Nursing Home Comprehensive (NC) Draft 10.01.17
MDS 3.0 Nursing Home Part A PPS Discharge (NPE) Item Set Effective 10.1.2017
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MDS Error Messages
MDS Users Guide Error Messages Section 5: 09.2020
Quality Measures
MDS 3.0 Quality Measures User's Manual (v12.1) Effective October 1, 2019
RAI Manual
RAI Manual Appendix B Revised September 24, 2020
Medicare Part B Concurrent Therapy October 2019
MDS 3.0 RAI Manual Version 1.17.1 October-2019
State RAI Coordinators June 2018
Section G
ADL-Nurse Assessors (MDS 3.0)
Section GG
Section GG Mass Health
Section GG Data Collection 1.4.19
FAQ
A patient is observed to be unable to walk the entire 150 feet, how would we best describe how to accurately code on MDS 3.0 section GG for 1. Admission status 2. Goal status 3. Discharge status?”
Are MDS Focused Surveys still ongoing?
Functional Assessment Status for Ambulation Section GG
How should the use of Compazine be coded on the MDS?
If a new resident to a skilled nursing facility is admitted onto hospice and decides to discontinue Hospice benefits prior to completing the admission assessment. What are the MDS requirements?
If a Patient is admitted to a skilled nursing facility on hospice care on the day of admission, does a SCSA need to be completed along with an Admission Assessment?
If a patient experiences a fall with no immediate injuries but a day or two later complains of pain and is sent to ER and admitted (fracture), how should this be coded on the Discharge MDS?
If a patient no longer has a canula, but still has the tracheostomy stoma, what is the appropriate way to code for this on the MDS?
If a patient is discontinued from hospice while a resident at a skilled nursing facility, does a (SCSA) Significant Change in Status Assessment need to be done?
Should non-pharmacologic pain intervention provided during Occupational/Physical Therapy be included when coding for non-medication intervention for pain in Section J 0100C on the MDS?
What are the documentation requirements for coding respiratory failure in Section I of the MDS?
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Tools
Modified MDS Completed Notify for Re-Billing FILLABLE 7.6.21