MDS Changes for October, 2019

The new PDPM, Patient Driven Payment Model schedule will only require 3 PPS assessments, the 5-day, interim, and discharge assessments

MDS items to be added include: the Primary Diagnosis in Section I, Surgical History categories in Section J, Interim Performance in Section GG, and additional Discharge Therapy items in section O.

The streamlined assessment policy is intended to provide more time for comprehensive baseline nursing care plans.https://ltcsbooks.com/mds-changes-for-october-2019

MDS and CAT Changes Coming in October, 2018

CMS posted data specifications for the new MDS 3.0 V2.02.0 version. There are significant changes to Section GG, I, J and M.

Also, a new MDS 3.0 CAT V1.03.0 version was posted for CAT 16, Pressure Ulcer.

These changes are scheduled to become effective October 1, 2018.

MDS and CAT Data Specifications for October, 2018https://ltcsbooks.com/mds-and-cat-changes-coming-in-october-2018

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Proposed Revisions to PPS and MDS

Case mix methodology will be changed and the MDS form streamlined next year, according to proposed changes recently announced by CMS.
RUGs would be replaced with the Resident Classification System, RCS-1 which would adjust for therapies, nursing services, and non-therapy ancillaries for a more resident centered allocation of resources.
Therapies would be assessed by resident characteristics rather than therapy time.
All PPS assessments would be eliminated except for the 5 Day and Significant Change of Status MDS.
Full Description of Regulatory Changes – Federal Register

October Changes for MDS

CMS announced the new version (v1.14.1) of the MDS 3.0 is scheduled to become effective October 1, 2016.
A new section GG has been added to the MDS. These item sets are required for Medicare Part A residents at admission and discharge to establish and assess functional abilities and goals.
LTCS Books publications are now all current with the MDS v1.14.1 and with all of the latest RAI Manual updates, Surveyor Guidelines, and federal regulatory changes.
Coding Instuctions for Sections GG Functional Abilities and Goals

Increasing Reimbursement in Long Term Care

There are many ways the MDS coordinator can increase the reimbursement level of the facility. While quality of care is the top priority, working to get the top level of payment that is justifiably due for services is of the utmost importance. Increased funds produce more resources for care.

http://ltcsbooks.com/increasing-reimbursement-in-long-term-care 

Staffing Data Submission

Long term care facilities will be required to electronically submit staffing information based on payroll to CMS beginning July 1, 2016. CMS will use the data to monitor staffing levels and employee turnover and tenure, which can impact the quality of care delivered. 

Facility staffing information will be posted on the CMS Nursing Home Compare website used in the Nursing Home Five Star Quality Rating System. 

CMS Staffing Data Submission Source Documents and Training Materials