Administrators and DONs of Metron
Objective
New Rules with inactivation
Scheduling Rule changes
Financial impact
Metron Strategies
Review MDS Item Coding Change
Once completed, edited, and accepted into the QIES ASAP system, providers may not change a previously completed MDS assessment as the resident’s status changes during the course of the resident’s stay – the MDS must be accurate as of the date of the ARD established by the time of the assessment. Providers should have a process in place to ensure assessments are accurate prior to submission. Such monitoring and documentation is a part of the provider’s responsibility to provide necessary care and services. (continued on slide 43)
(continued from slide 42) When the provider determines that an event date (ARD of any clinical assessment, entry date, and discharge date) or item A0310 (type of assessment) is inaccurate the provider must inactivate the record in the QIES ASAP system, then complete and submit a new MDS 3.0 record with the correct event date or type of assessment, ensuring that the clinical information is accurate. (Long-Term Care Facility Resident Assessment Instrument User’s Manual, MDS 3.0, Page 5-12.)
(continued on slide 44)
(continued from slide 43) If the ARD or Type of Assessment is entered incorrectly, and the provider does not correct it within the encoding period, the provider must complete and submit a new MDS 3.0 record. In this instance a new ARD date must be established based on MDS requirements, which is the date the error is determined or later, but not earlier. The new MDS 3.0 record being submitted to replace the inactivated record must include new signatures and dates for all items based on the look-back period established by the new ARD and according to established MDS assessment completion requirements.
(continued on slide 45)
(continued from slide 44)