In the final hours prior to October 1, CMS made a last minute change to the payment implications for Option 2 in the Transition Plan.  The change in instruction for Option 2 of the Transition Plan varies from what was originally taught by CMS on August 24, 2010.  Providers need to be aware that under Option 2 if the patient does not remain in the facility for at least one day for each of the actual billing periods, that the MDS is representing then there is risk for no payment or payment at the default rate.

Further, on September 23, 2010 CMS posted a retraction to page O-17 in Chapter 3 of the RAI manual.  Per CMS the September 13, 2010 posting of Section O contains a formatting error  on page O-17 under the coding tips for item O0400 that may result in mis-coding of the item.

The bulleted list at the top of the page should read as follows:
Set-up time shall be recorded under the mode for which the resident receives initial treatment when he/she receives more than one mode of therapy per visit.

Please discard page O-17 of Chapter 3 Section O of your existing MDS 3.0 RAI Manual and replace it with the following page of this document.
https://www.cms.gov/NursingHomeQualityInits/45_NHQIMDS30TrainingMaterials.asp