Are you ready for MDS 3.0?
The new MDS 3.0 is scheduled to be implemented in October, 2010. This major revision of the assessment tool for categorizing care into a RUG group for both financial and quality improvement purposes will have a major impact on skilled nursing facilities. As a nursing home leader, it is important that you become familiar with the MDS 3.0, and begin to prepare your organization for its implementation. This page is dedicated to providing you with information to assist with this goal.
The new MDS 3.0 is going to have more opportunities for residents to voice their needs through resident interview. Through validation studies and the STRIVE initiative, efforts have been made to increase the accuracy of the tool and how it reflects time required for care. Initial studies show that reimbursement based on RUG IV is less than RUG III. The major impact of the implementation of MDS 3.0 is the discontinuation of a look back period into the hospital for extensive services.
MDS and RUG Changes
The look back period data collection component will be changing. The pre-admission activities, such as oxygen and IV therapy that are collected on the new MDS will be used for care planning purposes-- not for reimbursement.
Concurrent therapy time, when multiple residents receive therapy from one therapist at the same time, will be divided among the number of residents receiving therapy, and not on a one to one ratio as was the case with RUG III.
Section T, which predicts therapy to be given on the initial 5-day assessment and allowed payment based on that prediction whether or not it actually occurred, is being eliminated.
OMRA (Other than Medicare Required Assessments) will be required within 8 to 10 days following the cessation of therapy, and therapy started in the middle of a payment period does not trigger a change in payment.
| McGladrey MDS 3.0 Training Academy
On Monday and Tuesday, Sept. 27 and 28, 2010, RSM McGladrey is providing a two-day academy to prepare nursing home clinical staff to complete the new Minimum Data Set (MDS) 3.0 assessment and conduct care planning using the care area assessments (CAA). Faculty for the Academy include RSM McGladrey’s Joseph J. Tomaino, MS, RN, Director, and Cheryl Ben-David, PT, DPT, Manager, both of whom participated in CMS’ Train-the-Trainer program for MDS 3.0 and have years of experience preparing staff to conduct resident assessments.
A per-person fee of $485 will be charged. Participants will receive an MDS 3.0 manual and a certificate of completion at the end of the course. The Academy is being held at the Hampton Inn in White Plains, N.Y. For long-distance attendees, the hotel is a short distance from White Plains and LaGuardia Airports, and a block of rooms at a special rate has been reserved.
Contact Joseph Tomaino to register for the Academy or for more information at 212.372.1640 or via email, at joseph.tomaino@mcgladrey.com. The two day program is also available for presentation for facilities or organizations. Call for details or a proposal, or to register for the White Plains NY course, CLICK HERE
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MDS 3.0 Implementation Calendar
September 2010= National Quality Forum Endorsement of MDS 3.0 based quality measures
October 1, 2010 MDS 3.0 implementation, with RUG IV based reimbursement until CMS develops a modified RUG III methodology that accomodates the changes in MDS 3.0 (e.g. no lookback for extensive services, changes to concurrent therapy rules, etc.). When this is available, it will be applied retrospectively to October 1st, and then will carry forward until RUG IV goes live on October 1, 2011.
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