A0100C: State Provider Number, Step-by-Step

Step-by-Step Coding Guide for Item Set A0100C: State Provider Number

1. Review of Medical Records

• Objective: Ensure accurate identification and coding of the state provider number for the facility where the assessment is being conducted.
• Steps:
  1. Gather Medical Records: Collect documents including facility information, state certification documents, and previous assessments.
  2. Identify Provider Number: Look for the state-assigned provider number in the facility's official documents.
  3. Verify Consistency: Ensure that the provider number is consistently reported across all documents.

2. Understanding Definitions

• State Provider Number: A unique identifier assigned to healthcare providers by the state regulatory agency.
• Importance: This number is crucial for regulatory, billing, and compliance purposes.

3. Coding Instructions

• Steps:
  1. Locate Provider Number: Find the state provider number in the facility's official documents.
  2. Enter Provider Number: Accurately enter the state provider number into item set A0100C of the MDS form.
  3. Double-Check for Accuracy: Verify that the number entered matches the number in the official documents exactly.

4. Coding Tips

• Accurate Documentation: Ensure the state provider number is accurately transcribed from official documents.
• Cross-Verification: Cross-check the number with multiple sources (e.g., state certification, previous assessments) to ensure consistency.
• Clarify Ambiguities: If there is any uncertainty or discrepancy regarding the provider number, contact the state regulatory agency for clarification.

5. Documentation

• Required:
  • State Certification Documents: Official documents from the state regulatory agency that include the provider number.
  • Facility Records: Internal records that consistently report the state provider number.
  • Previous Assessments: Historical MDS assessments for the facility showing the provider number.

6. Common Errors to Avoid

• Incorrect Number: Avoid entering an incorrect provider number by ensuring careful transcription and verification.
• Inconsistent Reporting: Ensure the provider number is reported consistently across all documents and records.
• Incomplete Documentation: Make sure all relevant documents that include the state provider number are gathered and reviewed.

7. Practical Application

• Example:
  • Facility Profile: Sunshine Retirement Home, a long-term care facility in Florida.
  • Steps:
    1. Review Records: Gather state certification documents, facility records, and previous MDS assessments for Sunshine Retirement Home.
    2. Locate Provider Number: Find the state provider number "FL123456" in the official documents.
    3. Document and Code: Enter "FL123456" in item set A0100C of the MDS form.
    4. Verify Accuracy: Cross-check the entered number with the state certification document and previous assessments for consistency.

Please note that the information provided in this guide for MDS 3.0 Item set A0100C was originally based on the CMS's RAI Version 3.0 Manual, October 2023 edition. Every effort will be made to update it to the most current version. The MDS 3.0 Manual is typically updated every October. If there are no changes to the Item Set, there will be no changes to this guide. This guidance is intended to assist healthcare professionals, particularly new nurses or MDS coordinators, in understanding and applying the correct coding procedures for this specific item within MDS 3.0. 

The guide is not a substitute for professional judgment or the facility’s policies. It is crucial to stay updated with any changes or updates in the MDS 3.0 manual or relevant CMS regulations. The guide does not cover all potential scenarios and should not be used as a sole resource for MDS 3.0 coding. 

Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice. Users are responsible for ensuring compliance with all applicable laws and regulations in their respective practices.