MDS

For whom does the bell toll? MDS knows

For whom does the bell toll? MDS knows

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Death is never an easy topic. Hemingway addressed it eloquently in his novel "For Whom the Bell Tolls," the title of which was taken from meditations on health, pain and sickness by poet John Donne.

MDS insight found lacking

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Long-term care staffers' understanding of the Minimum Data Set and its Quality Indicators is "mediocre at best," according to recent survey results. Lack of exposure and involvement are key reasons why nurse aides especially feel they are out of the loop.

The power of the MDS, and the will to rein it in

The power of the MDS, and the will to rein it in

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The Minimum Data Set helps determine how resident care is classified and reimbursed. Because it drives providers' fate, virtually from start to finish, providers cling to any nugget they can glean about it. That's why newly released study findings prove so intriguing.

Staff understanding of MDS Quality Indicators is 'mediocre at best,' study finds

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Frontline staff in long-term care facilities generally do not have a firm grasp on Minimum Data Set Quality Indicators, largely due to a lack of involvement with the MDS, according to a recently published survey.

Delve into hot topics at the 2014 Expo

Delve into hot topics at the 2014 Expo

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8th Annual McKnight's Online Expo brings national experts, continuing education credits, vendor booths and more straight to your desktop, or wherever you connect to the Internet

Ask the payment expert ... about the financial benefits of QAPI

Ask the payment expert ... about the financial benefits of QAPI

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What are the financial benefits to implementing CMS's Quality Assurance Performance Improvement program?

Put analytics to work as the population ages

Put analytics to work as the population ages

The pressure is on. As the population ages, nursing homes will have to play a more central role in helping realize the national mandate of reducing healthcare costs while improving its quality.

Nursing home culture change is linked to a decrease in survey deficiencies, research shows

Nursing home culture change is linked to a decrease in survey deficiencies, research shows

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Nursing homes that initiated culture change between 2004 and 2009 saw a noteworthy decrease in health-related survey deficiency citations, according to recently published research. The investigators describe their study as the first of its kind.

Ask the payment expert ... about the Brief Interview for Mental Status

Ask the payment expert ... about the Brief Interview for Mental Status

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Is there anything we should be doing with the results of the Brief Interview for Mental Status (BIMs) and PHQ-9 that we get from the MDS?

Resident assessments and care planning quality are threatened by nurses' unrelated duties, survey finds

Resident assessments and care planning quality are threatened by nurses' unrelated duties, survey finds

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Filling out a comprehensive assessment for a nursing home resident takes five hours on average, and nurses' workloads can make it difficult to carve out this time, according to survey results from the American Association of Nurse Assessment Coordination.

Ask the payment expert ... about MDS changes and payment

Ask the payment expert ... about MDS changes and payment

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With all the changes to the MDS on Oct. 1, 2013, how will payment be affected?

No more Rehab Medium RUG defaults

No more Rehab Medium RUG defaults

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Well, Oct. 1 has passed, and we're all still hanging in. The biggest changes we saw to rehab were the addition of reporting co-treatment minutes on our billing logs and Section O on the MDS. And, the new question of "how many DISTINCT calendar days" were received between SLP, OT, and PT.

Ready or not: The MDS is changing again!

Ready or not: The MDS is changing again!

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On Oct. 1, the Centers for Medicare & Medicaid Services will be updating the Minimum Data Set with another round of changes. Most are minor but there will be two changes to the therapy section. Your case-mix utilization and scheduling, will determine the degree of impact of these new changes.

MDS memo clarifies transition to new therapy, nutritional status items

MDS memo clarifies transition to new therapy, nutritional status items

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The Centers for Medicare & Medicaid Services has released a memorandum clarifying transition policies for new Minimum Data Set items related to swallowing and nutritional status, as well as therapy.

CMS issues guidance on incomplete, unsubmitted MDS discharge assessments

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The Centers for Medicare & Medicaid Services has clarified steps providers must take to comply with Minimum Data Set requirements regarding incomplete or unsubmitted discharge assessments.

Ask the nursing expert ... about transitioning to DON position, staying abreast of MDS changes

Ask the nursing expert ... about transitioning to DON position, staying abreast of MDS changes

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I have just been promoted to director of nursing after the position became available. I am very nervous. Where do I even start and where would I find support and continuing education for my new role?

MDS data quality: Things are not always as they seem

MDS data quality: Things are not always as they seem

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Open up the hood and look at the engine. Does the data scrubbing module focus only on standard CMS coding and consistency checks and the "RUG" items, or is it more robust and emphasize clinical quality and risk management. We studied MDS data from 11 software vendors and two suppliers of MDS scrubbing services: The "best" had MDS error rates of 62%, the "worst," 79%.

Cracking the code

Cracking the code

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Long-term care administrators and nurses are under pressure to train staff to assess and document skin conditions to keep patients out of the hospital.

No timeline for official QAPI regulation, but surveyors are learning program basics, CMS official says

No timeline for official QAPI regulation, but surveyors are learning program basics, CMS official says

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The Centers for Medicare & Medicaid Services still cannot say when an official regulation will be established for the Quality Assessment and Performance Initiative, but that's not stopping the agency from moving forward with QAPI initiatives. Providers should feel confident they will be well prepared for QAPI by following the recommendations in recently posted online materials, said CMS project officer Deborah Lyons, RN.

New MDS training video addresses discharge assessments, use of dashes

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Providers can now access a training video on discharge assessments and how to properly code using dashes in the Minimum Data Set, the Centers for Medicare & Medicaid Services announced Thursday.

CMS widens audits, hones in on Part A claims, expert says

CMS widens audits, hones in on Part A claims, expert says

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The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance expert noted at a recent McKnight's Super Tuesday webcast.

Minimum Data Set information identifying providers will be shared with health plans to fight fraud, CMS announces

Minimum Data Set information identifying providers will be shared with health plans to fight fraud, CMS announces

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To combat fraud and abuse, the Centers for Medicare & Medicaid Services plans to make provider-specific Minimum Data Set information available to health plans, according to a notice in Wednesday's Federal Register. The MDS is one of 23 records systems that would be affected by the new "routine use" defined by CMS.

'Serious' CMS oversight should compel providers to be duly vigilant about compliance, expert says

'Serious' CMS oversight should compel providers to be duly vigilant about compliance, expert says

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Skilled nursing providers should ratchet up Medicare Part A compliance initiatives to meet the increasingly intense scrutiny of the Centers for Medicare & Medicaid Services, a compliance expert said in a McKnight's Super Tuesday webcast. "CMS is serious about this," said Leah Klusch, executive director of The Alliance Training Center.

MDS update will expand use of modifications to make changes

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The Minimum Data Set manual will be revised to reflect a new correction policy, the Centers for Medicare & Medicaid Services recently announced.

Ask the payment expert ... about matching diagnoses codes

Ask the payment expert ... about matching diagnoses codes

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How important is it that diagnoses coded in Section I of the MDS match what is being billed on the UB-04?

The easy way to get LTC experts into your office

The easy way to get LTC experts into your office

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Nobody should pass up the opportunity to have a nationally respected professional expert visit his or her office. The chance to get six in there in a short amount of time? Outrageous. Yet, it's going to happen.

I couldn't live without ... COMS Interactive nursing assessments and data monitoring

I couldn't live without ... COMS Interactive nursing assessments and data monitoring

Comprehensive nursing assessments and data monitoring tools from COMS Interactive provide critical help to the CommuniCare Family of Companies, according to Chief Medical Officer Matthew Wayne, M.D.

A new way to save face

A new way to save face

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When is face-to-face contact with a resident not such a good idea? When an avatar can do better. That's just one lesson researchers like Timothy Bickmore, Ph.D., are proving. Bickmore is an assistant professor in the College of Computer and Information Science at Northeastern University.

CMS seeks operator input regarding skilled nursing facility therapy payment changes

CMS seeks operator input regarding skilled nursing facility therapy payment changes

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The Centers for Medicare & Medicaid Services is encouraging provider input as it seeks to change the payment system for therapy provided by skilled nursing facilities.

Ask the payment expert ... about inaccurate MDS therapy information

Ask the payment expert ... about inaccurate MDS therapy information

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What happens if my therapy company makes an error on the MDS and as a result, a change of therapy was missed? Are we still responsible?

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