Step-by-Step Coding Guide for Item Set A0100B: Facility CMS Certification Number (CCN)

This guide is created to assist in accurately coding and documenting the Facility CMS Certification Number (CCN) in the MDS 3.0, specifically within item A0100B.

1. Review of Medical Records

• Objective: Identify the facility's CMS Certification Number (CCN).
• Key Points:
  • The CCN is used by CMS to identify Medicare and/or Medicaid-certified nursing facilities.
  • Check for the CCN in facility accreditation documents, Medicare or Medicaid certification letters, or billing documents where the CCN is likely recorded.

2. Understanding Definitions

• Objective: Clarify the concept of a CMS Certification Number (CCN).
• Key Points:
  • CMS Certification Number (CCN): A unique identifier assigned to each Medicare and/or Medicaid-certified facility. The CCN is used for tracking, billing, and identification purposes by CMS.

3. Coding Instructions

• Objective: Guide on accurately entering the facility's CCN.
• Key Points:
  • Enter the 6-digit CCN of the facility as documented in official CMS or state health department communications.

4. Coding Tips

• Verify the CCN for accuracy against multiple official documents to avoid transcription errors or using an outdated number.
• Be aware that the first two digits of the CCN often represent the state identifier, which can be cross-referenced for accuracy if necessary.

5. Documentation

• Objective: Ensure the CCN is properly documented within the facility's records.
• Key Points:
  • Keep a record of where the CCN was obtained (e.g., CMS correspondence, state health department letter) in an easily accessible location for administrative and compliance purposes.
  • Include a copy of the document providing the CCN in the facility’s compliance or accreditation file for reference.

6. Common Errors to Avoid

• Using an incorrect CCN that may be associated with a different facility or service location.
• Failing to update the MDS with a new CCN if the facility’s certification status changes or if it receives a new CCN from CMS.

7. Practical Application

• Scenario: The administrator of Green Meadow Nursing Facility is preparing the annual recertification documentation for CMS. As part of this process, the administrator verifies the facility's CCN, 123456, against the most recent CMS certification letter and Medicare billing records. This CCN is accurately entered into item A0100B of all MDS assessments to ensure proper identification and billing for Medicare and Medicaid services.

The Step-by-Step Coding Guide for item A0100B in MDS 3.0 Section A is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.