Breakdown of Common Minimum Data Set (MDS) Errors Section H to Section K

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Home ► CERT ► Breakdown of Common Minimum Data Set (MDS) Errors Section H to Section K

Last Modified: 5/21/2025 Location: FL, PR, USVI Business: Part A, Part B

Breakdown of Common Minimum Data Set (MDS) Errors 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

H0200 Urinary Toileting Program

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 3-day qualifying stay, SNF admission notes, physician's admission history and physical (H&P), therapy evaluations and notes

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.

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

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

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

K0200 Height and Weight

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

K0710 Percent Intake by Artificial Route

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