Steps for Assessment
1. Verify that all items on this assessment are complete.
2. Verify that Item Z0400 (Signature of Persons Completing the Assessment) contains
attestation for all MDS sections.
DiraChart MDS item reference
Z0500Section Zv1.20.1Manual page Z-7
Signature of RN Assessment Coordinator Verifying
Assessment Completion (cont.)
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Instruction / group heading
This row introduces a grouped MDS item. Complete the applicable child items shown in the current item set.
Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Coding Instructions
•
For Z0500B, use the actual date that the MDS was completed, reviewed, and signed as
complete by the RN assessment coordinator. This date must be equal to the latest date at
Z0400 or later than the date(s) at Z0400, which documents when portions of the
assessment information were completed by assessment team members.
•
If for some reason the MDS cannot be signed by the RN assessment coordinator on the
date it is completed, the RN assessment coordinator should use the actual date that it is
signed.
Coding Tips
•
The RN assessment coordinator is not certifying the accuracy of portions of the
assessment that were completed by other health professionals.
Z0500: Signature of RN Assessment Coordinator Verifying
Assessment Completion (cont.)
•
Nursing homes may use electronic signatures for medical record documentation,
including the MDS, when permitted to do so by state and local law and when authorized
by the nursing home’s policy. Nursing homes must have written policies in place that
meet any and all state and federal privacy and security requirements to ensure proper
security measures to protect the use of an electronic signature by anyone other than the
person to whom the electronic signature belongs.
•
Although the use of electronic signatures for the MDS does not require that the entire
record be maintained electronically, most facilities have the option to maintain a
resident’s record by computer rather than hard copy.
•
Whenever copies of the MDS are printed and dates are automatically encoded, be sure to
note that it is a “copy” document and not the original.
MDS item matrixAssessment Applicability
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Assessment Applicability
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Official CMS source
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Reference details
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