The MDS (Minimum Data Set) Coordinator/Nurse is a Registered Nurse (RN) or Licensed Practical Nurse (LPN) that conducts federally mandated assessments of the residents at a long-term care facility. MDS Coordinators are responsible for collecting integral data and compiling it into a thorough assessment to help determine the functional capacity with appropriate plan of care and to determine the reimbursement for all payer sources in relation to the RUG-IV 66 and RUG-IV 48 system established by the Centers of Medicare and Medicaid Services.
The MDS Coordinator reports to the facility Administrator
Completion of all OBRA, PPS and Managed Care MDS
Completion of corresponding Admit MDS Tracking Forms, Death in the Facility Tracking Forms and any Discharge Assessments required per the RAI Manual
Completion of all Nursing Care Plans and the coordination of the other disciplines to ensure timely initiation of their Care Plans and/or revised in conjunction with the OBRA schedule and exacerbation of the problem requiring review of the problem, goal or interventions
Care Plan Conferences will be held within the first 21 days of admission and every 90 days thereafter as a minimum standard of practice
Coordination of the Care Plan Conference letters for residents and families (Social Service provides the invitations to the residents and the front office sends the invitation letters to the family members)
Completion of the monthly OBRA calendar by the 20th of the month
Completion of the weekly OBRA, PPS and Care Plan schedule for the IDT
Transmission of OBRA/PPS MDS Assessments to CMS per the Guidelines
Completion and Certifications/Re-certifications when a resident is receiving Medicare Part A Benefits
Coordination of the AB Notices and Medicare Cut Letters
Completion of the 100 day Medicare Part A and Managed Care Log
Completion of the Weekly Medicare Part A/Managed Care and RUG-IV 48 Report
Completion of RUG-IV 48 supporting documentation Audit Tools
Coordination of the RUG-IV 48 Supporting Documentation File Folders
Completion of the ICD-10 DX Module within the EMR System. Completion within 72 hours of admission, review with every re-admission and with every OBRA and/or PPS MDS completion.
Completion and coordination of the Care Area Assessment (CAAs) completion for all Full Comprehensive OBRA Assessment
Completion and Coordinator of the 4 MDS Interviews (BIMS, PHQ-9, Pain and Activity) to ensure completion and signed off within the MDS on the Assessment Reference Date (ARD) or at minimum within the Assessment Reference Period (Observation Period)
Coordination of the completion of the Ancillary Departmental Assessments to provide supportive documentation/validation. These assessments must be completed on the ARD or within the Assessment Reference Observation Period
Weekly Medicare Part A/Managed Care, Medicare Part B and RUG-IV 48 meeting
Coordination of the Insurance/Managed Care/Medicare Replacement caseload and re-authorization for services
Completion and review of the end of the month billing for Triple Check
Reviewing the 24 hour report daily to monitor for any potential Significant Changes in Status and need for an new Full Comprehensive MDS Assessment and/or revisions or development of new Care Plans
Monitoring of the EMR System (ADLs, Restorative Programs, and Mood/Behaviors etc.)
Documentation within POC with each OBRA MDS Assessment ARD period to establish/reinforce accurate ADL coding for the Late Loss ADL’s
Printing and Analysis of the Quality Measure/Quality Indicator Reports
Participation in the QI/QM Meetings
Quarterly Review of the HFS Roster
Coordination of the HFS Audit Survey Process (Surveys are random at this time)
Coordination of the MDS Focused Survey Process (Surveys are random at this time)
Coordinate of data collection for the ADR Process (Additional Documentation Requests) for Medicare Part A and B as well as Managed Care.
Other MDS responsibilities per the direction of the MDS Consultant
