Subscribe to eNews Contact us

Breakdown of common Minimum Data Set (MDS) errors Section H - Section K

Section H to Section K

Section H: Bladder and Bowel

H0100 Appliances

  • Within the seven-day look back period were any of these appliances present
  • Supportive documentation: nurses/physician's notes, therapy notes, MARs/TARs, physician's orders, specialist consult notes, ADLs

screen shot of H0100 Appliances

H0200 Urinary Toileting Program

screen shot of H0200 Urinary Toileting Program

H0500 Bowel Toileting Program

screen shot of H0500 Bowel Toileting Program

Section I: Active Diagnosis

I0020 Indicate the resident's primary medical condition category

  • Report the diagnosis that is cause for the skilled need
  • Supportive documentation from the three-day qualifying stay, SNF admission notes, physician's admission history and physical (H&P), therapy evaluations and notes

screen shot of I0020 Indicate the resident's primary medical condition category

I0020.I Active Diagnoses in the last seven days - Check all that apply (I0100 -I8000)

  • Supportive documentation from the 3-day qualifying stay, SNF admission notes, physician's admission H&P, therapy evaluations and notes, physician's orders
  • Nutritional- I5600 Malnutrition (protein or calorie) or at risk for malnutrition:
  • This is a common error and cause for recoding the PDPM. Supportive documentation must be from the physician: admission H&P, physician's orders, physician signing and agreeing to the dietician’s assessment.

screen shot of I0020.I Active Diagnoses in the last seven days - Check all that apply (I0100 -I8000)

Section J: Health Conditions

J1100c Shortness of Breath (dyspnea)

  • Occurs within the seven-day look back period
  • Supportive documentation from nurses/physicians notes, respiratory notes, therapy notes, physicians orders, ADLs

screen shot of J1100c Shortness of Breath (dyspnea)

J1550 Problem Conditions (within seven-day look back period)

  • Supportive documentation from nurses/physicians notes, therapy notes, physicians orders, ADLs, vital signs, 3-day qualifying stay record that includes surgery notes

screen shot of J1550 Problem Conditions (within seven day look back period)

J2100 Recent Surgery Requiring Active SNF Care

screen shot of J2100 Recent Surgery Requiring Active SNF Care

Section K: Swallowing/Nutritional Status

  • Occurs within the seven-day look back period
  • Supportive documentation from nurses/physician's notes, speech therapy evaluation and notes, ADLs, physician's orders, dietician notes

K0100 Swallowing Disorder

screen shot of K0100 Swallowing Disorder

K0200 Height and Weight

screen shot of K0200 Height and Weight

K0300 Weight Loss

screen shot of K0300 Weight Loss

K0520 Nutritional Approaches

  • Common error- Look back periods are noted below for each period
  • Parenteral/IV feeding: Introduction of a nutritive substance into the body by means other than the intestinal tract, e.g., subcutaneous or intravenous
  • Supportive documentation; MARS/TARS, nurses/physician notes, dietician notes, speech therapy evaluation/notes, physician's orders

screen shot of K0520 Nutritional Approaches

K0710 Percent Intake by Artificial Route

screen shot of K0710 Percent Intake by Artificial Route