News for MDS Experts
Check out our insightful articles and current social feed of news that’s important to MDS Coordinators.
Our Latest Articles
What is an MDS Coordinator?
"What do you do for a living?" It may not surprise you that when asked this question, most MDS Coordinators struggle to come up with an answer. The reality is that MDS Coordinators fully understand...
From the MDS to RAI System Management
With the introduction of the Minimum Data Set (MDS) through the Omnibus Budget Reconciliation Act (OBRA) of 1987, Centers for Medicare and Medicaid (CMS) implemented a method of standardized,...
Maximizing Case Mix with Special Programs: Respiratory Therapy and Restorative Nursing
Case mix is essential in skilled nursing facilities as it impacts both reimbursement and the care provided. Two key programs that significantly impact case mix scores when properly implemented and...
💡 MDS Tip of the Day: Mastering Section O 💡
Section O of the MDS is important for accurately reporting Special Treatments, Procedures, and Programs, it reflects the complexity of resident care and directly impacts facility compliance and reimbursement.
🛠️ Tip:
- Capture Everything: Include all therapy services, ventilator or oxygen use, dialysis, and other special treatments during the lookback period.
- Stay Consistent: Verify that treatments documented in the medical record align with what’s coded on the MDS.
- Monitor Accuracy: Miscoding can result in missed reimbursement opportunities or compliance issues.
🔍 Why It Matters:
Accurate Section O coding not only ensures regulatory compliance but also showcases the quality of care provided, supports appropriate reimbursement, and contributes to your facility's performance on Quality Measures.
✅ Take the time to review, document, and code correctly—it pays off for your residents and your facility!
#MDSTips #AccurateCoding #PostAcuteCare #SectionO #MDSCompliance ... See MoreSee Less
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Get updated HCPCS codes to accurately bill for Part A skilled nursing facility stays. See the general explanation of the major categories (PDF), including additional exclusions. cstu.io/4ebf81
cstu.io/9fde57
cstu.io/b0edb1 ... See MoreSee Less
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📢 Spotlight on HFCAP: What NY Nursing Homes Need to Know
The Health Facility Cash Assessment Program (HFCAP) is a vital tax that has been impacting New York State's healthcare facilities. Rochester’s Channel 10 News WHEC recently broke the story and interviewed the NYS Department of Health to provide key insights.
💡 Key Highlights:
- Nursing homes pay a 6.8% assessment on cash operating receipts, extended through March 31, 2025.
- In 2023, NY collected $641 million, with $470 million already collected in 2024.
- Funds are a critical source for Medicaid programs, supporting nursing homes and long-term care.
🎙️ From NYS Department of Health’s Interview with WHEC:
"This assessment helps fund Medicaid programs, including spending on nursing homes and other long-term care programs."
📊 Why It Matters:
Accurate MDS completion ensures proper documentation of resident care and maximizes reimbursement opportunities for facilities navigating these assessments.
🔧 How MDS Consultants Can Help:
We offer case mix reviews, MDS audits, and training to help your facility stay compliant and optimize funding.
🔗 Read the Full Article: cstu.io/34ed61
🔗 Learn More: cstu.io/b25f7d.
#LongTermCare #MDSAccuracy #MedicaidFunding #HFCAP #HealthcareCompliance ... See MoreSee Less
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📅 Upcoming Webinar: Jan 28 | The Complexity of Coding Active Diagnoses on the MDS
Accurately coding Section I of the MDS can be challenging, especially when it comes to identifying active diagnoses. Errors here can impact quality measures, care plans, and compliance.
💡 What You’ll Learn:
- Review coding criteria for active diagnoses per the RAI Manual
- Identify common miscoding errors in Section I
- Discuss processes to ensure accuracy and monitor results
📅 Who Should Attend?
Administrators, Directors of Nursing Services, Nurse Assessment Coordinators, MDS Coordinators, and IDT members.
👩🏫 Meet Your Trainers:
Jessica Stucin, RN, BSN, LNHA, RAC-MT, RAC-CT, RAC-CTA, QCP
🔗 Don’t miss out on this essential session! Join MDS Experts to gain access to this and other valuable webinars.
Register Here: cstu.io/3f6fbf
#MDSEducation #LongTermCare #MDSCoordinator #PostAcuteCare ... See MoreSee Less
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🔍 MDS Tip for Section N: Medications 💊
Accurate coding in Section N is important for reflecting a resident's medication regimen:
✅ Coding Alert: Code all high-risk drug class medications according to their pharmacological classification, not how they are being used.
✅ PRN Medications: Include PRN medications only if they were given during the lookback period.
✅ Review MAR/TAR: Verify that all medications administered during the 7-day lookback period are accurately documented in the Medical Administration Record (MAR) or Treatment Administration Record (TAR).
📌 Why It Matters:
𝗖𝗼𝗿𝗿𝗲𝗰𝘁𝗹𝘆 𝗰𝗼𝗱𝗶𝗻𝗴 𝗦𝗲𝗰𝘁𝗶𝗼𝗻 𝗡 𝗶𝗺𝗽𝗮𝗰𝘁𝘀:
- Quality Measures (e.g., antipsychotic and psychotropic medication use).
- Care planning and risk identification.
- Survey compliance and facility audits.
#MDSTips #SectionN #QualityCare #AccurateCoding ... See MoreSee Less
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January 2025 revisions to the Five Star Quality Reporting Technical User's Guide will be effective with the January 2025 refresh, CMS will unfreeze four quality measures (QMs) that were frozen beginning with the April 2024 refresh. These measures were updated to accommodate recent changes to the Minimum Data Set (MDS). Please refer to the CMS Memorandum QSO-25-01-NH for more information about these updates.
𝗧𝗵𝗲 𝗶𝗺𝗽𝗮𝗰𝘁𝘀 𝘁𝗼 𝘁𝗵𝗲𝘀𝗲 𝗤𝗠𝘀 𝗮𝗿𝗲 𝗮𝘀 𝗳𝗼𝗹𝗹𝗼𝘄𝘀:
• Percentage of Skilled Nursing Facility (SNF) Residents Who Are At or Above an Expected Ability to Care for Themselves and Move Around at Discharge will replace Percentage of Residents Who Made Improvements in Function (short-stay).
• Percentage of Residents Whose Need for Help with Activities of Daily Living Has Increased (long-stay) will be respecified.
• Percentage of Residents Whose Ability to Walk Independently Worsened (long-stay) will be respecified.
• Percentage of Residents with Pressure Ulcers will replace Percentage of High-Risk Residents with Pressure Ulcers (long-stay).
𝗧𝗼 𝗮𝗱𝗱𝗿𝗲𝘀𝘀 𝘁𝗵𝗲𝘀𝗲 𝗰𝗵𝗮𝗻𝗴𝗲𝘀 𝗶𝗻 𝗺𝗲𝗮𝘀𝘂𝗿𝗲 𝘀𝗽𝗲𝗰𝗶𝗳𝗶𝗰𝗮𝘁𝗶𝗼𝗻𝘀, 𝘁𝗵𝗲 𝘀𝗰𝗼𝗿𝗶𝗻𝗴 𝗰𝘂𝘁 𝗽𝗼𝗶𝗻𝘁𝘀 𝗳𝗼𝗿 𝗲𝗮𝗰𝗵 𝗼𝗳 𝘁𝗵𝗲𝘀𝗲 𝗳𝗼𝘂𝗿 𝗺𝗲𝗮𝘀𝘂𝗿𝗲𝘀 𝘄𝗲𝗿𝗲 𝗿𝗲𝗰𝗮𝗹𝗰𝘂𝗹𝗮𝘁𝗲𝗱 𝘁𝗼 𝗮𝗰𝗵𝗶𝗲𝘃𝗲 𝗮𝗻 𝗲𝘃𝗲𝗻 𝗱𝗶𝘀𝘁𝗿𝗶𝗯𝘂𝘁𝗶𝗼𝗻 𝗮𝗰𝗿𝗼𝘀𝘀 𝘀𝗰𝗼𝗿𝗲𝘀. 𝗔𝗹𝘀𝗼, 𝘁𝗼 𝗺𝗶𝗻𝗶𝗺𝗶𝘇𝗲 𝘁𝗵𝗲 𝗽𝗼𝘁𝗲𝗻𝘁𝗶𝗮𝗹 𝗱𝗶𝘀𝗿𝘂𝗽𝘁𝗶𝗼𝗻 𝗮𝘀𝘀𝗼𝗰𝗶𝗮𝘁𝗲𝗱 𝘄𝗶𝘁𝗵 𝘁𝗵𝗲𝘀𝗲 𝗰𝗵𝗮𝗻𝗴𝗲𝘀, 𝘁𝗵𝗲 𝗤𝗠 𝗿𝗮𝘁𝗶𝗻𝗴 𝗰𝘂𝘁 𝗽𝗼𝗶𝗻𝘁𝘀 𝘄𝗲𝗿𝗲 𝗮𝗱𝗷𝘂𝘀𝘁𝗲𝗱 𝘁𝗼 𝗺𝗮𝗶𝗻𝘁𝗮𝗶𝗻 𝘁𝗵𝗲 𝘀𝗮𝗺𝗲 𝗼𝘃𝗲𝗿𝗮𝗹𝗹 𝗱𝗶𝘀𝘁𝗿𝗶𝗯𝘂𝘁𝗶𝗼𝗻. cstu.io/a28062 ... See MoreSee Less
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The December 2024 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2026 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES).
These reports contain facility-level results for the 𝙎𝙉𝙁 𝟯𝟬-𝘿𝙖𝙮 𝘼𝙡𝙡-𝘾𝙖𝙪𝙨𝙚 𝙍𝙚𝙖𝙙𝙢𝙞𝙨𝙨𝙞𝙤𝙣 𝙈𝙚𝙖𝙨𝙪𝙧𝙚 (𝙎𝙉𝙁𝙍𝙈), 𝙩𝙝𝙚 𝙎𝙠𝙞𝙡𝙡𝙚𝙙 𝙉𝙪𝙧𝙨𝙞𝙣𝙜 𝙁𝙖𝙘𝙞𝙡𝙞𝙩𝙮 𝙃𝙚𝙖𝙡𝙩𝙝𝙘𝙖𝙧𝙚-𝘼𝙨𝙨𝙤𝙘𝙞𝙖𝙩𝙚𝙙 𝙄𝙣𝙛𝙚𝙘𝙩𝙞𝙤𝙣𝙨 𝙍𝙚𝙦𝙪𝙞𝙧𝙞𝙣𝙜 𝙃𝙤𝙨𝙥𝙞𝙩𝙖𝙡𝙞𝙯𝙖𝙩𝙞𝙤𝙣 (𝙎𝙉𝙁 𝙃𝘼𝙄) 𝙢𝙚𝙖𝙨𝙪𝙧𝙚, 𝙩𝙝𝙚 𝙏𝙤𝙩𝙖𝙡 𝙉𝙪𝙧𝙨𝙚 𝙎𝙩𝙖𝙛𝙛𝙞𝙣𝙜 𝙃𝙤𝙪𝙧𝙨 𝙥𝙚𝙧 𝙍𝙚𝙨𝙞𝙙𝙚𝙣𝙩 𝘿𝙖𝙮 𝙢𝙚𝙖𝙨𝙪𝙧𝙚, 𝙖𝙣𝙙 𝙏𝙤𝙩𝙖𝙡 𝙉𝙪𝙧𝙨𝙞𝙣𝙜 𝙎𝙩𝙖𝙛𝙛 𝙏𝙪𝙧𝙣𝙤𝙫𝙚𝙧 𝙢𝙚𝙖𝙨𝙪𝙧𝙚 for FY 2022, the FY 2026 SNF VBP Program baseline period.
-These results will be used for the FY 2026 SNF VBP Program year scoring and incentive payment calculations that will take effect 𝗢𝗰𝘁𝗼𝗯𝗲𝗿 𝟭, 𝟮𝟬𝟮𝟱
-SNFs may submit correction requests for their FY 2022 measure results up to 30 days following this report being made available, until 𝗝𝗮𝗻𝘂𝗮𝗿𝘆 𝟵, 𝟮𝟬𝟮𝟱. ... See MoreSee Less
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📚 Did You Know?
The RAI system and MDS have been essential in long-term care since 1990! Introduced by CMS, they standardize assessments, improve quality care, and ensure compliance.
Over the years, updates to the MDS and RAI Manual have kept pace with evolving care practices, helping facilities deliver better, person-centered outcomes.
#DidYouKnow #raihistory #mdsexperts #LongTermCare ... See MoreSee Less
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🩹 Spotlight on Section M: Skin Conditions 🩹
Did you know that Section M of the MDS focuses on identifying and addressing skin conditions like pressure ulcers? Accurate coding in this section is important—not just for compliance, but for improving resident outcomes and ensuring quality care.
📋 Key Tips for Section M Accuracy:
- Always document the exact stage of pressure ulcers or injuries.
- Use current, supporting documentation for coding.
- Collaborate with the care team to monitor healing and prevent new skin issues.
💡 Pro Tip: Early intervention and meticulous documentation can help facilities improve quality measures and enhance resident satisfaction!
#mdsaccuracy #SectionM #skinintegrity #LongTermCare #QualityCare ... See MoreSee Less
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