Rai manual for pdpm training released lifespan network. October 1 is fast approaching which means that snf providers need to be aware of and up to speed on changes to the mds process and. David carter state mds automation coordinator webinar on october 19, 2016. Cms compliance group long term care news recap week of 114 08 nov 20. Bipartisan bill passed on september 18, 2014, and signed into law on. Medicare snf pps october 2011 page 62 system uses information from the mds assessment to classify snf residents into a series of groups representing the residents relative direct care resource requirements. Usual performance the rai manual, page gg3 states, residents should be coded performing activities based on their usual performance or baseline performance on admission, which is identified as the residents. Coding conventions, overview to the itembyitem guide to the mds 3. Please note this early release is being provided in response to stakeholder feedback. This version of the rai manual provides clarification to existing coding and transmission policy. Please be advised that cms has issued corrections to the rai manual as of november 5, 20. Mdsrai changes and pdpm policy updates for october 1, 2019. Caa resources october 2011 appendix c2 chapter 4 of this manual provides information on specific care areas triggered and the caa process.
What changed for october 1 click here to access the webex recording. Cms corrections to rai manual november 5, 20 08 nov 20. The american association of nurse assessment coordination aanac is a nonprofit membership organization representing more than 5,750 longterm care facilities and more than 15,000 longterm care nurses and healthcare professionals who provide quality care for nursing home residents across the nation. Along with the new sections and revisions, they have released 3 new quality measures that directly tie into the revised mds process. Longterm care facility resident assessment instrument 3. Among 81,729 longstay residents from the sfy 2015 2016 q4 quarterly benchmark report, 39,068 residents 47. Use the drop down list below to find the exact chapter, appendix, or changetable you need to replace. Planning for care reevaluation of special treatments and procedures the resident received or performed, or programs that the resident was involved in during the 14day lookback period is important. Medicare part a stays that begin october 1, 2016 and beyond will require a new mds section on the pps 5 day assessment and the part a pps discharge. Additional mds submission the part a pps discharge assessment. Medicare manual medicare resources pbj pepper rai manual rehabilitation manual section s snf policies and procedures survey faq top frequently asked questions mds faq mds 3.
Record the number of days a hypnotic medication was received by the resident at any time during the 7day lookback period or since admissionentry or reentry if less than 7 days. This appendix contains both specific and general resources that nursing homes may choose to use to further assess care areas triggered from the mds 3. Longterm care facility resident assessment instrument. Traditional zip files of the rai manual and the change tables that crosswalk the changes made to this years manual. Although these are still in draft form, ms isn t expected to make significant changes. American association of nurse assessment coordination aanac mds webinar series part iv october 20, 2016 3. Cms has released the updates to the rai manual and added 2 new sections to the mds. Cms compliance group long term care news recap week of 114.
Section gg is effective with assessments completed with an. Mds submission the october 1, 2016 implementation of the snf qrp will not change the process of mds 3. Guidance added throughout the manual in relation to the two new item sets. The mds instrument has also been adapted for use by noncritical access hospitals with a swing bed agreement. Failure to properly administer the mds places a facilitys medicaid and medicare. Simplified posting of the rai manual and mds forms. Jun 04, 2020 october 1, 2020 final section s items revised pdf 6 kb posted 06042020. Assessments for the rai shortterm or respite residents. For the remainder of this continuing education article, the focus will be. Updated manual pages are marked with the footer october 2017 r. Care area assessment caa process and care planning.
Mds and rai information minnesota department of health. Record the number of days a hypnotic medication was received by the resident at any time during the 7day lookback period or since admissionentry or reentry if. Oct 01, 2016 effective october 1, 2016 aging and longterm services administration residential care services presenter. State state rai coordinator email ak angela rick angela.
Any and all references to the following have been removed throughout the entire rai manual. Section s items pdf 229 kb posted 11202017 october 1, 2017 final section s items pdf 251 kb posted 1128 2016 october 1, 2016 final section s items v2 pdf 418 kb updated 0627 2016. Layout of the rai manual the layout of the rai manual is as follows. Glossary and common acronyms october 2011 appendix a1 appendix a. Guidance added throughout the manual in relation to the two new item sets have been added. Beginning october 1, 2016, facility staff will be required to complete and submit a new part a pps discharge assessment when a resident is. Oct 01, 2019 use the drop down list below to find the exact chapter, appendix, or changetable you need to replace. This new discharge assessment, part a pps discharge assessment npe item set, is to be used when the medicare part a pps stay ends but the resident will remain in the facility. Review the residents medical record to determine whether an influenza vaccine was received in the facility for this years influenza season. Errata, available in the downloads section below, contains revisions to pages in chapter 2 and chapter 3, section a of the mds 3. Clarification regarding shortness of breath documentation new 092016. This is the same material as the item above, except there are separate files for each chapter or subchapter. With the idea of continuous quality improvement in mind, cmscgs interdisciplinary team ensures that all.
Prior surgery, the criteria for major surgery needed to be modified to remove the requirement for general anesthesia. Requires standardized patient assessment data across. What changed for october 1 november 22, 2016 by dale applegate this years mds 3. Assessments for the resident assessment instrument rai chapter 3. Glossary and common acronyms glossary term abbreviation definition ability to understand others comprehension of direct persontoperson communication whether spoken, written, or in sign language or braille. An rai must be completed for any individual residing more than 14 days on a unit of a facility that is certified as a longterm care facility for participation in the medicare or medicaid programs. Cms will collect data on residents who are admitting to the snf on and after october 1, 2016, and. The october 1, 2016 implementation of the snf qrp will not change the process of mds 3. The term, medicare, revised to prospective payment system, pps, where appropriate. Changed manual pages are marked with the footer october 2014 r or october 2014 r2 if the page was previously.
Resident assessment instrument rai october 2017 page 18 3 how the assessment information is documented while remaining in compliance with the. Issue id issue resolution 1 in chapter 3, page j 36, under coding tips in j2000. Rai manual compliance auditing and monitoring hipaa policy and procedure development. I provided this instruction during my august 2016 refresher course while other webinars said all 3 days is a must. Medicare manual medicare resources pbj pepper rai manual rehabilitation manual section s snf policies and procedures. Minimum system requirements for home health agencies, hospice providers, long term care facilities, inpatient rehabilitation facilities and long term care hospitals. Skilled nursing facility quality reporting program.
The assessment consists of demographic, administrative, and clinical items. Also see the article on value based purchasing on page 3. It also includes the change tables that crosswalk the changes. The american association of nurse assessment coordination aanac is a nonprofit membership organization representing more than 5,750 longterm care facilities and more than 15,000 longterm care nurses and healthcare professionals who provide quality. Mdsrai changes and pdpm policy updates for october 1.
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