Change History for October 2020 MDS 3.0 Item Set Posted

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

On December 20, 2019, I blogged on the CMS posting of the DRAFT MDS 3.0 Item Sets that will be implemented October 1, 2020.  I noted that the Change History for the DRAFT sets “would be posted shortly.”  That posting came the afternoon of January 24, 2020.

The 43-page posting shows the new, removed and changed items on the DRAFT v1.18.0.  There are more than 35 changes to the Item Set we’re using now but I point out that v1.18.0 is just a DRAFT at this time.  It can and likely (I’ll bet on it!) will change before CMS declares it final for 10/1/2020.

I’ve seen and heard lots of discussion about Section G not on the DRAFT Item Sets.  It’s still on the OSA (Optional State Assessment) just as it is for the current version – late-loss ADLs.  The OSA is used by several states that continue to use RUG-III or RUG-IV for Medicaid case-mix reimbursement (some managed care entities also utilize the OSA for payment determination).  The Change History points this out on page 21 in case you didn’t see it when you combed the Item set posting during the Christmas holidays.

I’m still working my way through the DRAFT (there’s that word again but it is important to remember they are drafts at this point), but I have identified the new and changed items, some of which hark back to the remaining components of the IMPACT Act for implementation.  There are more than 33 additional/changed/deleted items that we’ll be working with in a few short months and that’s just in Section A.

There will be lots of webinars and education on the DRAFT item set.  Here are a couple of “early” webinar options for you/your team:

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Register

What you’ll learn:

  • Get a brief review of the IMPACT ACT
  • Learn about current and new/upcoming QRP measures
  • Understand Standardized Patient Assessment Data Elements (SPADEs)
  • Review item-by-item revisions in MDS 3.0 Data set v1.18.0

Who should attend:

  • Directors of Nursing
  • MDS Coordinators
  • Administrators
  • Interdisciplinary Team members

The presenter of this webinar is Joel VanEaton:

Joel VanEaton, BSN, RN, RAC-CT MT, is the VP of Compliance and Regulatory Affairs at Broad River Rehab. A veteran of long-term care, Joel began his career as an MDS coordinator and worked for many years as the Director of Clinical Reimbursement and RAI for a group of nursing facilities in Tennessee and Kentucky. He is passionate about helping organizations navigate the complex reimbursement and regulatory landscape in LTC so they will be better equipped to provide increasing quality of care to their residents. Joel has contributed to McKnight’s LTC News, AANAC LTC Leader, PPS Alert Magazine and is a regular contributor to the Nursing & Assisted Living Facility Professional. He is also a regular presenter for the Georgia Healthcare Association and is one of only 34 AANAC certified Master Teachers.

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Register

What you’ll learn:

  • Identify two areas that could use additional education/assistance to improve your PDPM expertise
  • State when CMS is expected to post the updated Appendix PP to provide guidance for Phase 3 RoPs and two guidances to watch for
  • Discuss at least 3 changes to the MDS 3.0 Item Set for Oct. 1, 2020 implementation

Who should attend:

  • Directors of Nursing
  • MDS Coordinators
  • Administrators
  • Interdisciplinary Team members

The presenter of this webinar is yours truly.  My bio is found on the registration page.  The sponsor of these webinars is SimpleLTC, a Briggs Healthcare Company.

I encourage you to register now as all SimpleLTC webinars fill up quickly – literally thousands of registrants and attendees. You can also access all SimpleLTC webinars on demand, including the audio recordings and handouts.

We’re looking forward to seeing you at these webinars – you’ll be glad you did.  We’ll help you learn what you need to know and continue to keep you updated as the process unfolds.  We’ve got your back/6!

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