Wednesday, August 27, 2014

S&C Letter: Discharge assessment when transferring from certified to non-certified bed

Following is the link to a new Centers for Medicare and Medicaid Services (CMS) Survey and Certification Letter:  Completion of Minimum Data Set (MDS) 3.0 Discharge Assessments for Resident Transfers from a Medicare- and/or Medicaid-Certified Bed to a Non-Certified Beds (8/25/14):

·         CMS is reinforcing the requirement and importance of completing MDS 3.0 Discharge assessments when a resident is transferred from a SNF/NF Medicare-and/or Medicaid-certified bed to a non-certified bed.

·         §483.12(a) defines transfer and discharge as “movement of a resident to a bed outside of the certified facility whether that bed is in the same physical plant or not. Transfer and discharge does not refer to movement of a resident to a bed within the same certified facility.”
·         §483.20(f) includes the requirement for facilities to “electronically transmit encoded, accurate, and complete MDS data to the CMS System, including … a subset of items upon a resident’s transfer, reentry, discharge, and death.”

·         CMS recognizes that both certified and non-certified beds exist within the same physical structure or certified facility. Discharge assessments are required for residents transferred to non-certified beds housed under the same certified facility.
·         All Omnibus Budget Reconciliation Act (OBRA)-mandated assessments, including discharge assessments, are required assessments that SNFs/NFs must submit to the Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system.  
·         The RAI User’s Manual Version 1.12 is scheduled to be posted to CMS’ Nursing Home Quality Initiatives website:http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html on or about September 5, 2014.



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