MDS Coordinator Track

MDS Coordinator Training

Structured DiraChart learning path from orientation through independent MDS coordinator practice. Seeded from the updated MDS training outline.

324 lesson shells12 phasesPhase-gated learning path

1Phase 1Orientation & SetupCompany orientation, job expectations, CMSNet, IT access, dashboard/report review, ADL documentation access, policy locator, IDT introduction, and incident-report workflow.23 lessons

P1.01Company Specific: General Orientation25 min P1.02Company Specific: Review of job description and job specification25 min P1.03Importance of Time Management and Tracking System25 min P1.04Sample of what will be on your plate25 min P1.05Suggested Daily Routine25 min P1.06CMSNet - Submission Access25 min P1.07CMSNet - Submission Access Registration25 min P1.08Company Specific: Computer Access Set Up......IT or Human Resources25 min P1.09Email Set up and Email Proficiency25 min P1.10Phone system Orientation25 min P1.11Company Specific: Computer/Software Specific Training25 min P1.12Reviewing Census, Census Management and insurance25 min P1.13Reviewing Dashboard25 min P1.14Reviewing Scorecard25 min P1.15Reviewing Report section25 min P1.16How to Access ADL Documentation25 min P1.17Company Specific: Where to locate Policy and Procedure Manual25 min P1.18Company Specific: Introduction to IDT25 min P1.19IDT Communication25 min P1.20IDT Workflow Process25 min P1.21IDT Section(s)25 min P1.22MDS 3.O Interdisciplinary ( IDT)- CMS25 min P1.23Company Specific: How to obtain Incident Reports...esp. falls25 min

2Phase 2Regulatory Foundation42 CFR § 483.20, OBRA ’87, RAI Manual structure, State RAI Coordinator, RAI process overview, and OBRA guidelines.20 lessons

3Phase 3ARD, Scheduling, Tracking, SubmissionAssessment reference dates, OBRA scheduling, tracking/discharge MDS, submission, validation, attestation, inactivation, and modification.23 lessons

P3.01MDS Essentials: Assessment reference Date25 min P3.02Understanding the importance of reference dates25 min P3.03Special ARD (UTI, Pain, weight etc.)25 min P3.04Selecting ARD25 min P3.05Sample ARD25 min P3.06MDS Essentials: Naming, Timing and Scheduling: OBRA25 min P3.07Admission (Initial) Assessment25 min P3.08Annual Reassessment25 min P3.09Significant Change in Status Reassessment25 min P3.10Quarterly Assessment25 min P3.11Significant Correction of a Completed Prior Full Assessment25 min P3.12Significant Correction of a Completed Prior Quarterly Assessment25 min P3.13Practicing Scheduling MDS 3.025 min P3.14MDS Essentials: Tracking /Discharge MDS25 min P3.15Entry25 min P3.16Reentry25 min P3.17Discharge assessments: Discharge (return not anticipated or return anticipated)25 min P3.18Planned25 min P3.19Unplanned25 min P3.20MDS Essentials: Submitting MDS25 min P3.21MDS Essentials: Validating MDS/ Attestation25 min P3.22MDS Essentials: Inactivation of assessments25 min P3.23MDS Essentials: Modification of assessments25 min

4Phase 4Item-Level CodingMDS sections A through Z, line-by-line section lessons, coding guidelines, section manual references, coding practice, and signature guidance.86 lessons

5Phase 5CAAs & Care PlanningTwenty Care Area Assessments, CAA documentation, baseline and comprehensive care planning, care plan meetings, reviews, updates, and fall prevention.36 lessons

6Phase 6ICD-10, PDPM & ReimbursementICD-10 for MDS, PDPM components, PPS scheduling, IPA, default rate prevention, clinical categories, and reimbursement optimization.39 lessons

P6.01PPS Discharge Assessment-----See PDPM25 min P6.02Respite25 min P6.03Death in Facility25 min P6.04MDS Essentials: ICD-1025 min P6.05Overview of ICD-10 for MDS 3.025 min P6.06ICD-10 for MDS 3.0 Mapping25 min P6.07ICD-10 mapping for PDPM components25 min P6.08ICD-10 Clinical Category Mapping25 min P6.09ICD-10 Rehab Mapping25 min P6.10ICD 10 Categories25 min P6.11ICD-10 Resources | CMS25 min P6.12ICD-10 Resource25 min P6.13ICD-10-CM (cdc.gov)25 min P6.14MDS Essentials: Introduction to PPS Scheduling25 min P6.15PDPM25 min P6.16CMS Patient Driven Payment Model Website25 min P6.17Naming and Scheduling: PPS PDPM25 min P6.185-day PPS Assessment25 min P6.19Interim Payment Assessment (IPA)25 min P6.20PPS Discharge Assessment25 min P6.21default rate25 min P6.22Default Prevention Guidelines25 min P6.23Scheduling to Maximize Reimbursement25 min P6.24Anti-Kickback Statute25 min P6.25IPA Management25 min P6.26Fact Sheet: PDPM25 min P6.27PDPM case mix components25 min P6.28PDPM Components- OT – Occupational Therapy25 min P6.29PDPM Components-Nursing Component25 min P6.30PDPM Components-SLP – Speech/language Pathology25 min P6.31PDPM Components-PT – Physical Therapy25 min P6.32PDPM Components-Non-Case Mix Group25 min P6.33PDPM Components-NTA- Non-Therapy Ancillary25 min P6.34ICD 10: Coding/Sequencing25 min P6.35PDPM Clinical Categories25 min P6.36FAQs: PATIENT-DRIVEN PAYMENT MODEL25 min P6.37MDS Essentials: Naming and Scheduling: PPS RUG25 min P6.38Drug Classification & Categories | Drugs.com25 min P6.39Gradual Dose Reduction25 min

7Phase 7Medicare, Medicaid, Managed Care & AppealsMedicaid CMI/MMQ, Medicare SNF coverage, managed care, TRICARE, MSP, bed-hold, denial letters, appeals, ADR, and coverage manuals.42 lessons

P7.01MCD Search (cms.gov)- see under Manage Care Essentials: Understanding Medicare and Managed Care25 min P7.02MDS Essentials: Medicaid Management25 min P7.03Review of Medicaid CMI management25 min P7.04Maximizing the ARD: Adjusting for capturing care services25 min P7.05Management Minutes Questionnaire (MMQ)25 min P7.06MDS Essentials: MDS 3.0 OBRA Assessments25 min P7.07Management Tips25 min P7.08Common Coding errors25 min P7.09Manage Care Essentials: Understanding Medicare and Managed Care25 min P7.10Medicare Basics25 min P7.11What is Skill Care? / Criteria for skilled care coverage25 min P7.12SKILLED NURSING FACILITY 3-DAY RULE BILLING25 min P7.13Medicare SNF Coverage Guidelines Under PPS25 min P7.14Factors Impacting Medicare A25 min P7.15Presumption of Care25 min P7.16Clinical Eligibility Requirements- Medicare25 min P7.17Technical Eligibility Requirements- Medicare25 min P7.18Medicare 30-day window25 min P7.19Medicare 60 Day Wellness Period25 min P7.20Medicare A /Hospice Dual Coverage25 min P7.21Medicare Certs25 min P7.22MCD Search (cms.gov)25 min P7.23TRICARE For Life25 min P7.24TRICARE Reimbursement Manual 6010.61-M, April 201525 min P7.25Medicare Secondary Payer (MSP)25 min P7.26Deferred Covered Treatment25 min P7.27Understanding Medicare part B: Frequency and Duration25 min P7.28Medicare Meeting25 min P7.29Managed Care Basics25 min P7.30Managed Medicare/ Medicare Advantage25 min P7.31HMO Managed25 min P7.32Bed-Hold Policies25 min P7.33Manage Care Essentials: Denial and ABN forms and process,25 min P7.34Denial Letters: Medicare A- Original25 min P7.35Denial Letters: Medicare Advantage25 min P7.36Denial Letters: Medicare B- Original25 min P7.37Manage Care Essentials: Appeals Process25 min P7.38Detailed Explanation of Non-coverage25 min P7.39Medicare Benefit Policy Manual25 min P7.40Medicare Program Integrity Manual25 min P7.41Medical Review Additional Development Request (ADR) Process25 min P7.42Medicare meeting25 min

8Phase 8Survey & ComplianceAnnual survey, licensing inspection, complaint investigation, State Operations Manual, LTCSP pathways, mock survey, and Plan of Correction workflow.9 lessons

P8.01State Operations Manual25 min P8.02Understanding the survey process25 min P8.03Federal Regulatory Groups for Long Term Care Facilities25 min P8.04Mock Survey resource25 min P8.05Nursing Home Search Page25 min P8.06Forms to keep updated25 min P8.07Completing plan of correction (POC)The Statement of Deficiencies and Plan of Correction (CMS-2567)- STATEMENT OF DEFICIENCIES AND PLAN CORRECTION25 min P8.08LC Survey Pathways & Entrance Conference Form25 min P8.09LTCSP Initial Pool Care Areas25 min

9Phase 9QM, QRP, 5-Star & AuditsQuality Measures, Five-Star, SNF QRP, CASPER, QM Manual, QAPI improvement for QMs, Nursing Home Compare, and RAC audit readiness.11 lessons

P9.01Quality Measures & Five Star Rating System for SNF25 min P9.02CMS SNF QRP25 min P9.035 Star Reporting25 min P9.04CASPER25 min P9.05QM25 min P9.06Missed Assessment25 min P9.07QRP25 min P9.08QM Manual25 min P9.09How to QAPI for Improvement of QM25 min P9.10Nursing Home Compare25 min P9.11RAC Audit25 min

10Phase 10Operations, Meetings & Clinical DocumentationMedication safety, clinical reports, skilled documentation, triple check, ADL documentation review, referral review, daily meetings, huddles, and care conferences.15 lessons

P10.01Medication Safety – High Alert and Hazardous Medication- The Joint Commission25 min P10.02Reviewing Clinical Report25 min P10.03Skill Care Documentation25 min P10.04End of Month and Triple Check25 min P10.05Clinical checklist/audit25 min P10.06Reviewing ADL Documentation25 min P10.07How to review all referral (admission/readmission) as IDT -referral review25 min P10.08Daily clinical meeting25 min P10.09Huddles25 min P10.10Morning meeting25 min P10.11Worksheet25 min P10.1248/72 care conference25 min P10.13Risk Meeting25 min P10.14Discharge meeting25 min P10.15QAPI meeting.25 min

11Phase 11QAPI, Financial & Infection ControlQAPI, weekly financial summaries, MDS reimbursement impact, McGeer criteria, infection surveillance, infection control regulation, and antibiotic stewardship.8 lessons

P11.0142 CFR § 483.75 - Quality assurance and performance improvement25 min P11.02interpret Weekly Summary Financial25 min P11.03Understanding how the MDS is utilized in SNF clinical reimbursements25 min P11.04McGeer Criteria f25 min P11.05nfection Surveillance Checklist25 min P11.0642 CFR § 483.80 - Infection control.25 min P11.07Antibiotic Stewardship for Nursing Homes. Core Elements checklist25 min P11.08Antibiotic Stewardship for Nursing Home25 min

12Phase 12IDT CollaborationActivities, Social Services, Dietitian, DON, nursing team, and department head roles in the MDS process.12 lessons

P12.01Activities Director25 min P12.02What they do?25 min P12.03Social services25 min P12.04What they do?25 min P12.05Dietician25 min P12.06What they do?25 min P12.07DON25 min P12.08What they do?25 min P12.09Nursing Team25 min P12.10What they do?25 min P12.11Department Heads25 min P12.12What they do?25 min