Introduction to RAI Process, OBRA ’87, and RAI User’s Manual

Start building a strong foundation of knowledge by understanding how the RAI process drives individualized resident care, reimbursement, and survey outcomes.

This session will help you:

• Realize the basics and history of the RAI process
• Understand the content and how to use the RAI Manual
• Identify the importance of MDS accuracy and impact the RAI process has on care plans, quality measures, reimbursement, and survey results

MDS Coding Essentials: Sections A, B, C, H, and I

Begin your journey through the MDS section-by-section as we explore the intent and rationale of each item. This session will cover five MDS Sections (A, B, C, H, and I) and will start to introduce MDS interview techniques.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Realize the basic tips and techniques for completing MDS scripted interviews

MDS Coding Essentials: Sections D, E, F, and Q

Continue your journey through the MDS section-by-section as we explore the intent and rationale of each item. This session will cover four MDS Sections (D, E, F and Q) and will continue to help develop your MDS interview techniques.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Realize the basic tips and techniques for completing MDS scripted interviews

MDS Coding Essentials: Section G and J

The journey through the MDS section-by-section continues as we explore the intent and rationale of each item. This session will cover two MDS Sections (G and J) and will introduce you to the Rule of 3 for ADL coding.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Apply the Rule of 3 to real-life situations

MDS Coding Essentials: Section GG and K

Continue your journey through the MDS section-by-section as we explore the intent and rationale of each item. This session will cover two MDS Sections (GG and K) and walk you through the nuances of the Section GG requirements.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Recognize the differences between Section GG and Section G
• Apply the calculation of weight loss and weight gain

MDS Coding Essentials: Sections L, M, N, and P

Delving into the essentials of the MDS continues as we explore the intent and rationale of each item in four Sections (L, M, N, and P).

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements

MDS Coding Essentials: Sections O, V, X, and Z

The journey through the MDS continues as we explore the intent and rationale of each item. This session will cover four MDS Sections (O, V, X, and Z).

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Recognize when the MDS correction policy is needed for inactivations and modifications
• Apply guidelines concerning signatures for MDS coding, completion, CAA notes, and care plans

MDS Essentials: Introduction to CAA Documentation/Care Plan

Continue your journey through the next step in the RAI process as we explore the RAI requirements for Care Area Assessment notes and care plans.

This session will help you:

• Understand the RAI process for Care Area Triggers and Care Area Assessment Summary
• Apply RAI requirements for care plans
• Review case studies and examples for Care Area Assessments and care plans

MDS Scheduling Essentials: Introduction to OBRA Scheduling and Transmission Requirements

A critical piece of the RAI process is the OBRA assessment schedule.

This session will introduce you to the OBRA scheduling and transmission process by:

• Establishing key acronyms and definitions that are essential to understand the scheduling requirements
• Explaining scheduling, completion, and transmission deadlines
• Demonstrate how different assessments will impact the OBRA assessment schedule

MDS Scheduling Essentials: Introduction to PPS Scheduling and PDPM

Our journey comes to a close as we explore the SNF Medicare Prospective Payment System (PPS) schedule that is a requirement for Original Medicare Part A residents in order for the facility to receive reimbursement with the Patient-Driven Payment Model (PDPM).

This session will help you:

• Understand the assessment scheduling requirements for PDPM PPS
• Describe the ramifications of non-compliance with the assessment schedule
• Review the six components of PDPM
• Recognize the concepts of the interruption stay window
• Determine the HIPPS Codes used for billing