Basic Training for New MDS Nurses - Licensing and Certification Program - June 14-15, 2023

Q: Why is MDS accuracy important for resident outcomes?

The materials explain that inaccurate assessments can negatively impact resident care by affecting the assessment results used for planning and decision-making.

Q: What scheduling requirements guide MDS assessments under OBRA and PPS?

The objectives state that participants must identify OBRA and PPS assessment scheduling requirements, and the document outlines assessment scheduling concepts and the ARD rules.

Q: What steps are involved in correcting MDS coding errors?

The objectives include understanding the MDS Correction Process, and the content addresses common causes of inaccurate assessments such as missing supporting documentation and not following instructions.

Oct 14, 2026

Upload by Danger Angel

Training materials for new MDS nurses covering the essentials of the Minimum Data Set and how accurate assessments affect resident care, quality monitoring, and reimbursement. The program explains OBRA and PPS assessment scheduling expectations, resident interview coding, correct coding of ADLs, and requirements for coding active diagnoses. It also covers comprehensive care area assessments and care plan components, the MDS correction process, federal and state admission assessment requirements, and factors that lead to inaccurate assessments.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages41

Reading Time14 min

AccessFree to download

Objectives

Common Acronyms

Federal Requirement

State Requirement

Who Can Participate in the Assessment Process?

Uses of MDS Data

Care Planning

Payment

Quality Monitoring

Common Causes of Inaccurate Assessments

Scheduling Assessments

MDS Assessment Types

Typical OBRA Assessment Schedule

Assessment Reference Date (ARD) (A2300)

Admission Assessments

Significant Change In Status Assessments

2023‐06‐12 Basic Training for New MDS Nurses Nadine Olness RN, RAC‐CT MN State RAI Coordinator Licensing and Certification Program June 14‐15, 2023 1 | Objectives | | --- | | Participants will be able to:
• Identify the importance of MDS accuracy and the impact of an inaccurate assessment
• Identify the OBRA and PPS assessment scheduling requirements
• Understand the coding requirements for the resident interview items
• Understand how to correctly code ADLs on the MDS
• Identify the requirements to code an Active Diagnosis on the MDS
• Identify the components of a comprehensive CAA and Care Plan
• Understand the MDS Correction Process | 2 | Common Acronyms | | --- | | • RAI‐ Resident Assessment Instrument
• MDS‐ Minimum Data Set
• CATs‐ Care Area Triggers
• CAAs‐ Care Area Assessments
• ARD‐ Assessment Reference Date
• OBRA‐ Omnibus Reconciliation Act
• PPS‐ Prospective Payment System
• IPA‐ Interim Payment Assessment
• PDPM‐ Patient Driven Patient Model
• RUG‐ Resource Utilization Group or Guidelines | 3 Basic Training 1 2023‐06‐12 | | | --- | | • DRA‐ Discharge Return Anticipated
• DRNA‐ Discharge Return Not Anticipated
• SCSA‐ Significant Change in Status Assessment
• SCPA‐ Significant Correction of a Prior Comprehensive Assessment
• SCQA‐ Significant Correction of a Prior Quarterly Assessment
• MI‐ Mental Illness
• ID‐ Intellectual Disability | 4 | | | --- | |

| 5 | Federal Requirement | | --- | | All residents admitted to a Medicare or Medicaid certified nursing facility who reside in the facility for more than 14 days regardless of their payer source.
| 6 Basic Training 2 2023‐06‐12 | State Requirement | | --- | | • MN Statute 144.0724 requires a facility to submit an Admission assessment for all residents who are admitted to the nursing facility regardless of their length of stay or payer source.
• Exception‐ The resident is Admitted and Discharged on the same calendar day
• May opt out of this requirement by electing the short stay rate for ALL residents who stay <14 days.
• The facility’s Administrator makes the election annually
• It applies to ALL admissions between July 1st – June 30th (state fiscal year) | 7 | Who Can Participate in the Assessment Process? | | --- | | • CMS does not dictate who can participate in the assessment process other than the requirement for an RN to coordinate the assessment.
• Facilities are responsible for ensuring that all participants in the assessment process have the necessary knowledge to complete and accurate and thorough assessment.
• MN Nurse Practice Act indicates completing a comprehensive assessment and the development of a care plan are the functions of an RN.
• Completion of the MDS requires an interdisciplinary team.
• The medical record documentation must support what is coded on the MDS. | 8 | Uses of MDS Data | | --- | |
Care Planning
MDS
Quality Monitoring
Payment | 9 Basic Training 3 2023‐06‐12 | Care Planning | | | --- | --- | | The Primary purpose of the MDS is to aid in the development of the person centered, individualized, resident care plan |
The Nursing Process | 10 | Payment | | | --- | --- | |
MDS Inaccuracies can result in: | | 11 | Quality Monitoring | | | | --- | --- | --- | | •
•
•
• | Facility Quality Improvement Projects Regulatory Oversight
Consumer Access to NH Information
• Federal NH Compare Website
• MN Nursing Home Report Card Reimbursement | | 12 Basic Training 4 2023‐06‐12 | Improving the Quality of Care | | | | --- | --- | --- | | | | | 13 | Common Causes of Inaccurate Assessments | | | --- | --- | | • Staff turnover and lack of staff training/supervision
• Coding events that occurred outside of the LBP
• Not following the RAI User’s Manual instructions | • Failure to collect data from multiple sources
• A lack

FAQs

Why is MDS accuracy important for resident outcomes?

The materials explain that inaccurate assessments can negatively impact resident care by affecting the assessment results used for planning and decision-making.

What scheduling requirements guide MDS assessments under OBRA and PPS?

The objectives state that participants must identify OBRA and PPS assessment scheduling requirements, and the document outlines assessment scheduling concepts and the ARD rules.

What steps are involved in correcting MDS coding errors?

The objectives include understanding the MDS Correction Process, and the content addresses common causes of inaccurate assessments such as missing supporting documentation and not following instructions.

Oct 14, 2026

Upload by Danger Angel