Minimum Data Set

Success without silos

Success without silos

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Minimum data set coordinators should get as much support as possible from colleagues as they navigate data set changes and ever-evolving requirements

CMS: Discharge assessments must be completed when residents transfer to a non-certified bed within the nursing facility

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Skilled nursing facilities must complete a discharge assessment when a resident is transferred from a certified to a non-certified bed, even if both beds are in the same building, the Centers for Medicare & Medicaid Services emphasizes in a recent memorandum.

Most residents are incontinent

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More than 75% of long-term residents are incontinent, as well as nearly half (46%) of short-term residents, the Centers for Disease Control and Prevention reported.

Referrals funnel duals into lower quality nursing homes

Referrals funnel duals into lower quality nursing homes

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Government health programs could save money and health outcomes could improve if more dual-eligible beneficiaries were to go from hospitals to well-staffed long-term and post-acute facilities, according to research from Brown and Harvard universities.

House and Senate take on bills that would standardize post-acute care data collection

House and Senate take on bills that would standardize post-acute care data collection

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Both houses of Congress now officially are considering bills to standardize assessments across various post-acute care provider types. The House Ways and Means and Senate Finance committees introduced companion versions of the "Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014" Thursday, after releasing a draft in March.

Special surveys on dementia care, Minimum Data Set coding will launch by mid-year, CMS announces

Special surveys on dementia care, Minimum Data Set coding will launch by mid-year, CMS announces

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Surveyors will scrutinize dementia care and Minimum Data Set coding in an upcoming pilot program to test more expansive oversight of these areas, the Centers for Medicare & Medicaid Services recently announced.

Aggression strongly signals pain only when dementia reaches advanced stages, researchers find

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For a person with dementia, the link between aggressive behavior and physical pain is strong only in the condition's advanced stages, University of Florida researchers have found.

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.

CMS releases new Minimum Data Set training videos; session on coding to kick off McKnight's Online Expo tomorrow

CMS releases new Minimum Data Set training videos; session on coding to kick off McKnight's Online Expo tomorrow

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Post-acute providers now can refer to four new Minimum Data Set training videos from the Centers for Medicare & Medicaid Services, which answer frequently asked questions and clarify tricky items related to a variety of codes.

Standardized tool for assessing post-acute care is floated in House and Senate

Standardized tool for assessing post-acute care is floated in House and Senate

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Lawmakers in both houses of Congress have unveiled a draft bill calling for post-acute care providers to furnish standard assessment data, with the goals of enabling better quality oversight and driving Medicare payment reform. The Senate Finance and House Ways and Means committees on Tuesday introduced companion versions of the "Improving Medicare Post-Acute Care Transformation Act of 2014" (IMPACT Act).

Doctors are dropping the ball during hospital to nursing home transfers, survey shows

Doctors are dropping the ball during hospital to nursing home transfers, survey shows

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Poor communication between physicians is the No. 1 issue hurting patient transitions between hospitals and nursing homes, according to a recent survey of long-term care professionals.

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.

MDS staff face time crunches

MDS staff face time crunches

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Each nursing home resident assessment takes five hours on average for a Minimum Data Set or nurse coordinator to finish, according to survey results from the American Association of Nurse Assessment Coordination.

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.

CMS releases new RAI Manual

CMS releases new RAI Manual

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The Centers for Medicare & Medicaid Services has issued the latest version of the Minimum Data Set 3.0 Resident Assessment Instrument User's Manual, which takes effect Oct. 1. Although CMS posted the new manual Tuesday, just one week before it goes into effect, the agency previously had issued guidance to long-term care providers on notable changes regarding therapy and nutritional status.

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 clarifies recent hospice, discharge assessment regulations

CMS clarifies recent hospice, discharge assessment regulations

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The Centers for Medicare & Medicaid Services recently addressed provider questions related to regulations pertaining to discharge assessments and agreements between skilled nursing and hospice providers.

Ask the payment expert ... about MDS staffing

Ask the payment expert ... about MDS staffing

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We recently lost our MDS nurse and didn't know what to do, as no one else knew how to do MDSs. What should we do differently now?

$30 million cut from Medicare

$30 million cut from Medicare

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Skilled nursing facilities will see $470 million in aggregate 2014 Medicare reimbursements, which is $30 million less than projected in a proposed rule, according to the Centers for Medicare & Medicaid Services.

Taming the MDS

Taming the MDS

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Providers will be greeted at the end of the month by more important tweaks and changes to multiple parts of the Minimum Data Set resident assessment tool.

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.

Execute documentation as it's claimed: survey expert

Execute documentation as it's claimed: survey expert

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An industry expert served up straightforward advice during a recent McKnight's Super Tuesday webinar: Accurately claim what you do, and do what you claim.

MDS compliance: Experts develop best practices for identifying, treating suicidal nursing home residents

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Caregivers in long-term care facilities should screen residents using a suicide risk assessment tool in order to undertake appropriate interventions, according to experts in geriatric psychology and psychiatry.

CMS crackdown doubles Medicare removals

CMS crackdown doubles Medicare removals

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The Centers for Medicare & Medicaid Services has removed 14,663 healthcare providers and suppliers from the Medicare program in the last two years, the agency announced Thursday. The figure more than doubles the number of removals from the prior two-year period. The statistics do not break down removals by provider type, but they support long-term care stakeholders who have noted increased enforcement actions.

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.

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.

CMS: Medicare rate increase would boost SNF payments by $500 million

CMS: Medicare rate increase would boost SNF payments by $500 million

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Total Medicare reimbursements to skilled nursing facilities would increase by $500 million in 2014 under the new payment rate proposed by the Centers for Medicare & Medicaid Services. The agency is also proposing a new Minimum Data Set item related to therapy.

McKnight's Online Expo returns

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An immediate jeopardy citation can throw a long-term care facility into a crisis, but providers can use the government's guidelines as a quality assessment tool. That's the topic of one of the presentations at the seventh annual McKnight's Online Expo. Additional sessions will give an update on the Minimum Data Set, offer insight into relational agents in a healthcare setting, target wound care research and describe the current outlook for obtaining capital.

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