MDS Alert
Test Yourself
PDF
How would your facility handle this scenario?
The SNF sets the assessment reference date (ARD) for a Significant Change in Status Assessment (SCSA) on day 22 of the resident's Part A-covered stay. The beneficiary "grouped" into a rehabilitation RUG. Therapy ends on day 24 and the SNF performs an OMRA with an ARD of day 33.
Which assessment would the SNF use to replace the 30-day Medicare-required assessment?
Answer: The SNF must use the SCSA with the ARD of day 22 to replace the Medicare required assessment. That's because the ARD falls within the assessment window for the Medicare-required assessment and is before the date on which the Medicare-required assessment is due.
The OMRA with an ARD that fell on day 33 of the stay cannot replace the Medicare-required assessment because it already has been replaced by the SCSA. Payment to the SNF will change on day 22 (the ARD of the SCSA), since the SCSA must be used to replace the Medicare-required assessment, and then again on day 33 of the covered stay, based on the OMRA. The payment associated with the RUG code derived from the OMRA will continue until the next Medicare required assessment or off-cycle assessment, whichever occurs first.
Source: CMS Transmittal A-01-56
MDS Alert
- Medicare Payment:
Don't Let A Leave Of Absence Leave You Holding The Bag
Nail down the in's and out's of LOAs as a billing, MDS issue.
When residents go [...] - What Do You Think?
Question: Does a leave of absence (LOA) for Medicare Part A-stay SNF patients create potential [...] - Clinical Assessment:
Unmask This Health Bandit Before It Hurts Residents And Your Quality Outcomes
These multiple MDS items may clue you in to undetectable anemia.
What do falls, cognitive decline, [...] - Clip 'N' Save:
Look For RAP Patterns That May Signal Anemia
Anemia symptoms will trigger the following resident assessment protocols (RAPs):
Delirium
Cognitive loss
ADL function
[...] - Medicare Billing:
Make Sure You're At Fault Before You Take The Default Rate
There's only one reason to dock your RUG payment.
If you don't finish the MDS or [...] - Coding Quizzer:
Keep 'Walking in Corridor' ADL Scores in Line
How would you code the following example for Section G (walk in corridor)?
Mrs. Q. requires [...] - MDS Accuracy:
Enlist DAVE To Stave Off Payment And Survey Woes
Target these audit hotspots now.
DAVE may be gone, but its handiwork is in the hands [...] - MDS Compliance:
Target These Top 5 Discrepant Section G Items Uncovered By DAVE
G1b(A) - Transfers/Self-Performance
G1a(A) - Bed Mobility/Self -Performance
G1i(A) - Toilet Use/Self-Performance
G1d(A) -Walk in Room/Self-Performance
G1a(B) - [...] - In The Spotlight:
Catch MDS Inconsistencies Before They Slip Through The Cracks
An audit system is just the ticket to prevent compliance, care plan shortfalls.
MDS items that [...] - Test Yourself
How would your facility handle this scenario?
The SNF sets the assessment reference date (ARD) for [...] - MDS & Billing News
Do you know how to access the new quality indicator/measure reports? The reports are now [...] - Clip 'N' Save:
Raise The Bar On Your ADL Care Plans
Make sure your're covering these bases to promote optimal functional status.