FY 2025 Final MDS 3.0 Item Sets version 1.19.1 Effective Oct. 1, 2024

The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.19.1 are now available. The MDS Item Sets v1.19.1 will be effective beginning October 01, 2024. Items in sections A, B, D, GG, I, J, N, and O are affected. From https://www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual

Social Determinants of Health (SDOH) MDS Coding Explainer Video

The Centers for Medicare & Medicaid Services is offering a 4-minute, animated explainer video, Social Determinants of Health (SDOH) Items: Using Sources Other Than the Resident to Code for SNF providers. This video is intended to assist providers in accurately determining when the use of other sources is allowed for SDOH items: A1005. …

PDPM Clinically Complex Nursing Qualifiers: Coding and Documentation Refresher

The Patient-Driven Payment Model (PDPM) includes four ways for a resident to classify into the Clinically Complex category of the Nursing payment component. If a resident has conditions or is receiving services that qualify for Extensive Services, Special Care High, or Special Care Low, but does not have a PDPM …

Tricky NAC Issues Even Some Experts Miss

Nurse assessment coordinators (NACs) definitely experience variety in their jobs, to state the obvious. Management and completion of the Minimum Data Set/Resident Assessment Instrument (MDS/RAI) process, Medicare management, and ICD-10-CM coding are just a few of the areas they are expected to master in their role. With these responsibilities alone, …