MDS Consulting & Seminars
The MDS 3.0 RAI User's Manual was updated recently and has been consistently since October 1, 2010 when the MDS 3.0 was implemented. This guide is an invaluable resource for providers and especially to MDS Coordinators who are responsible for submission of MDS records to the QIES ASAP system. SNF providers have a significant weight on their shoulders to attend closely to coding guidelines for the MDS 3.0. CMS's regulation of practices related to Medicare Part A and Medicaid is more prominent than ever. Protocols with strict policies for MDS coding are a necessity for SNF operators to insulate all revenues and ensure accuracy in payments.
Harmony Healthcare International (HHI) recognizes the value of a solid foundation for an MDS coordinator; it is critical to get a new coordinator off to a great start and support the ongoing learning for a seasoned coder. HHI expert MDS consultants work one on one with your MDS Coordinator and support staff to teach the fundamentals of the management of the MDS process in addition to coding critical areas, as well as utilization of CMS' resources.
Potential Risk to Providers:
The Centers for Medicare and Medicaid Services (CMS) has clarified the requirements for MDS 3.0 coding repeatedly over the past three years. Inaccuracies in coding can affect care planning for patients, lead to lower than expected reimbursement for services provided and/or mismanaging clinical care. There are key issues to focus on when determining whether or not to code select items on the MDS. There are 1,000 points of information contained on the MDS assessment with approximately 108 depicting one of 34 – 66 different RUG classifications. Miscoding this tool is very easy to do, yet has significant clinical and financial ramifications. Of equal importance for providers be aware of are the quality reporting implications of inaccurately coding the MDS.
How can Harmony Healthcare International (HHI) help?
The HHI MDS site visits focus on compliance and accuracy with MDS coding. Training for the MDS coordinators, facility staff and leaders is provided on multiple aspects of the RAI User's Manual intent and instructions for coding each section of the MDS to meet OBRA regulations, and adhere to Medicare and Medicaid policies. HHI assists the facility MDSC in identifying areas to seek clarity for accuracy in coding the MDS.
HHI provides education and training to the MDS Department on the accurate coding and supporting documentation in the medical record to stave off governmental audits.
HHI provides on-site auditing of the MDS and associated medical records aimed at meeting federal and state compliance regulations. This process directly influences the facility's compliance efforts, systems and program development, while simultaneously assuring precise billing for accurate reimbursement.