MDS Bootcamp Level 1
1:00 P.M. EST - 2:00 P.M. EST
July 14, 2021 - September 1, 2021
ROI: Improved Quality of Care via increased MDS Accuracy and Clinically Appropriate Medicare and Medicaid Reimbursement.
This weekly MDS Bootcamp will cover Medicare Entitlement, Eligibility and Coverage Criteria, Medicare Process, and more!
Intro to the RAI
Reimbursement, survey, and quality reporting are all driven by the data collected through the RAI process, but the primary purpose is patient-centered care.
The RAI process has three components: The Minimum Data Set, CAA process, and RAI Utilization guidelines.
The RAI process requires an interdisciplinary effort using input and data from multiple sources.
Minimum Data Set (MDS) Basics and Coding Part 1
Section A – Identification Information
The Look-back period starts at 11:59 PM on the ARD and counts backwards, usually 7 calendar days, but some are 14 days, 30 days, or from the date of the last assessment.
Section A identifies the resident and determines which data set is used for assessment.
There are strict timing guidelines for the scheduling of both OBRA and PPS assessments.
Minimum Data Set (MDS) Coding Part 2
Section B – Hearing, Speech, and Vision
Section C – Cognitive Patterns
Section D - Mood
Section E - Behavior
Section F – Preferences for Customary Routine and Activities
The interview is the resident’s voice. It’s important to listen and record responses accurately.
Section B determines whether the interview should be attempted. If the resident is at least occasionally understood and is not comatose, ALL interviews must be attempted.
Include staff from all disciplines and shifts for staff interviews.
Minimum Data Set (MDS) Coding Part 3
Section G – Functional Status
Section GG – Functional Abilities and Goals
Section G measures self-performance and support needed in a two-part assessment of function during the seven-day look-back period and is reported using the Rule of Three.
Section GG is an assessment of the resident’s usual function based upon data collected over a period of up to 3 days: The first 3 days of a 5-day PPS for Medicare A stays, the last 3 days of a Medicare A stay for an NPE PPS discharge, or the ARD plus the 2 preceding days for an IPA or certain OBRA assessments in States collecting GG data.
While there are similarities between Sections G and GG, the criteria for assessment are different. For example, weight-bearing assistance is a factor in G assessment, but not GG. The percentage of tasks performed is a deciding factor in GG assessments, but not G.
Minimum Data Set (MDS) Coding Part 4
Section H – Bladder and Bowel
Section I – Active Diagnoses
Section J – Health Conditions
Section K – Swallowing/Nutritional Status
Section L – Oral/Dental Status
It is important to understand and follow RAI guidelines and definitions for items such as fever falls, what constitutes a major injury, planned weight loss or gain, and mechanically altered diets.
The RAI Manual definition for an active diagnosis is different from coding convention guidelines for active diagnosis.
Sections H, I, J, K, and L have questions with 5 different look-back periods. Knowing and understanding the different look-back periods is crucial for accurate assessment.
Minimum Data Set (MDS) Coding Part 5
Section M – Skin Conditions
Section N - Medications
Establishing the etiology of wounds promptly and including the etiology in treatment orders are two steps that facilitate accurate coding of Section M and accurate wound care planning.
The systems needed to complete Section N accurately are Fundamentals of Nursing level concepts: Medications are reported by Drug Class, not how they are being used.
Medication Reviews involve identifying, reporting, and acting upon potential problems in medication orders. GDRs are based upon monitoring for symptom control and adverse side effects.
Minimum Data Set (MDS) Coding Part 6
Section O – Special Treatments, Procedures, and Programs
Section P – Restraints and Alarms
Therapy minutes are reported even though the quantity no longer affects reimbursement
The requirements for a Restorative “program” are an excellent formula for supporting documentation and using the RAI process to build a person-centered care plan in multiple MDS areas.
Unlike medications, restraints are defined by how they are used and their effect upon the resident. There is no “restraint list.”
Minimum Data Set (MDS) Coding Part 7
Section Q – Participation in Assessment and Goal Setting
Section V – Care Area Assessment (CAA) Summary
Section X – Correction Request
Section Z – Assessment Administration
Section Q reflects ongoing discharge planning. The responses to Section Q drive the plan of care for discharge.
Section X is completed only to modify or inactivate an assessment that has been transmitted.
Items are signed by the person who completed the assessment for that item and entered it into the data set. IDT Members must know what their signatures and their dates represent.
Continuing Education Hours:
The following professionals can earn up to 8 Contact Hours/Continuing Education Credits for full participation:
Nursing Home Administrators
Registration Fee Per Person
The fee includes 8 weeks of education, quizzes, and CEUs
- $250 with PDF of Material
- $300 with Mailed Material (Binder Mailed to address specified during payment)
Registrants requesting a refund must do so in writing within 7 business days of the seminar. Refunds are subject to a $50 processing fee. Refund requests received within 6 business days or less from the seminar date will not be accepted.
Harmony Healthcare International (HHI) is not responsible for any fees incurred due to cancellations or postponements.
Harmony Healthcare International (HHI) does not endorse commercial products or services within the education program. No HHI Expert Trainer has any conflicts of interest to disclose.