Agenda Introduce the RAI process Become familiar with the contents of the RAI manual Know resources available at QTSO.CMS.GOV Discuss regulatory requirements for the MDS Identify key items and common coding issues in Section A. Delineate Types of Assessments including: Federal OBRA Assessments, PPS Assessments, and Entry/Discharge reporting. Explain required time frames for assessment completion and submission.

Agenda Line by line coding instructions for: B. Hearing, Speech and Vision C. Cognitive Patterns D. Mood E. Behaviors Q. Participation in Assessment and Goal Setting

Agenda: Understand coding rules and unique lookback periods for Section GG Functional Abilities and Goals: -Prior functioning and prior device use -Functional limitation in ROM -Mobility Devices -Self-Care and Mobility -Line by line coding for Section H: Bladder and Bowel Appliances -Urinary and Bowel Toileting Program -Urinary and Bowel Continence -Bowel patterns

Agenda: 1 hour 20 minute video Understand coding rules and unique lookback periods for Section GG Functional Abilities and Goals: -Prior functioning and prior device use -Functional limitation in ROM -Mobility Devices -Self-Care and Mobility -Line by line coding for Section H: Bladder and Bowel Appliances -Urinary and Bowel Toileting Program -Urinary and Bowel Continence -Bowel patterns

Agenda: Section F: Preferences for customary routine and activities and staff assessment Section K Nutritional Status Swallowing disorder Height and weight Weight loss and gain Nutritional approaches Percent intake by artificial route Section L: Oral/dental status

Identify Correct Coding for: – Section M: Skin Conditions • Risk of Pressure ulcers • Unhealed pressure ulcers/injuries – Present on admission • Venous/Arterial Ulcers • Other Ulcers, wounds and skin problems • Skin and ulcer/injury treatments – PDPM and QM implications of Section M – Section N: Medications • Injections • Insulin • High-risk drug classes • Antipsychotic Medication Review • Drug Regimen review

Agenda: Section O: Special treatments, procedures, and programs Special treatments, procedures and programs Influenza and pneumococcal vaccines Therapies Distinct calendar days of therapy Discussion of O0425: Therapies on a Part A PPS Discharge Restorative nursing programs Section P: Restraints and Alarms P0100: Physical Restraints P0200: Alarms

Agenda: Describe the Care Assessment Area review process and documentation requirements. Explain coding & timing requirements V0200: Care Area Assessment SummaryCoding for Section Z: Z0100: Medicare Part A Billing Z0200: State Medicaid Billing Z0400: Signature of Persons Completing the Assessment or Z0500: Signature of RN Assessment Coordinator Verifying Assessment Completion