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December 8, 2009
Notes from the desk of our CEO Kris Mastrangelo
MDS 3.0; Coding of Section M
 
With this busy season upon us, we have received an early holiday gift from CMS of the RAI manual for the MDS 3.0. This week chose to discuss Section M, Skin conditions in the following article as there are significant changes to the type of coding done in this section, definitions of altered skin and additional instructions and guidance provided for identification and evaluation of skin conditions.
Section M now consists of the following subsections: 
  • M0100. Determination of Pressure Ulcer Risk
  • M0105. Risk of Pressure Ulcers
  • M021. Unhealed Pressure Ulcer(s)
  • M0300 Current Number of Unhealed (non-epithelialized) Pressure Ulcers at Each Stage 
    • Unstageable 
      •  Non-removable dressing
      •  Slough and/or eschar
      •  Deep tissue
  • M0610. Dimensions of Unhealed Stage 3 or 4 Pressure Ulcers or Eschar
  • M0700. Most Severe Tissue Type for Any Pressure Ulcer
  • M0800 Worsening in Pressure Ulcer Status Since Prior Assessment
  • M0900. Healed Pressure Ulcers
  • M1030. Number of Venous and Arterial Ulcers
  • M1040. Other Ulcers, Wounds and Skin Problems
  • M1200. Skin and Ulcer Treatments
This section has undergone a complete overhaul.  Careful review of the RAI manual for MDS 3.0 is necessary to have a clear understanding of the rational, steps for assessment and coding instructions.  For example the MDS 3.0 requires facilities to assess each patient to determine the risk factors present for pressure ulcer and the actual risk of pressure ulcers.  The coding of these subsections will then determine how to proceed with additional coding in Section M.
 
Harmony will be providing training on the MDS 3.0 beginning in February 2010.  We will also dedicate our weekly newsletter to unique articles that address the MDS 3.0 with the newly published coding instructions. 
 
Join our Certified Wound Specialist this week for a 90 minute webinar where he will address chronic wound management, assessment, treatments, goal setting and progress note writing. 
 
The following link will provide access to the MDS 3.0 manual. http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp
The manual is in a zipped format. If you are unable to open the file, please contact Harmony for assistance.
 

Wound Management in the SNF
90 Minute Webinar for the whole
interdisciplinary team
December 10, 2009
1:00 - 2:30 EST 
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 To Register Call: 978-887-8919
 
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OT, PT, ST, Nsg and Adm. Earn CEU's

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WINTER WEBINAR PROGRAMS
    
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Documentation in the SNF
 
1/21/2010
Administrator's Guide to
Medicare and the MDS
 
2/11/2010
MDS Basics
 
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Tips
and Strategies in the SNF
 
MAY 2010
Harmony will be presenting Live in Rochester, NY.
RUGs IV, The Final Rule and MDS 3.0.
Date: TBD.
 
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