A2200: Previous Assessment Reference Date for Significant Correction

Step-by-Step Coding Guide for A2200: Previous Assessment Reference Date for Significant Correction

Introduction: Item A2200 on the MDS 3.0 is designed to identify the Assessment Reference Date (ARD) of a previous comprehensive or Quarterly assessment where a significant error has been found. This is essential for ensuring accurate documentation and compliance with correction procedures.

Who Should Complete This Item: This item should be completed by the MDS coordinator or a designated staff member who is responsible for MDS completion and has access to the resident's comprehensive assessment history.

Steps for Completion:

1. Review Previous Assessments: Begin by reviewing the previous comprehensive (A0310 = 01, 03, or 04) or Quarterly assessments (A0310A = 02) for the resident to identify any potential errors.

2. Identify Significant Errors: Determine if a significant error exists in any previously completed assessments. A significant error could change the resident's care plan, reimbursement, or quality measures significantly.

3. Determine Eligibility for Correction: Verify if the error identified qualifies for a significant correction according to the CMS guidelines. Complete A2200 only if A0310A = 05 (Significant Correction to Prior Comprehensive Assessment) or A0310A = 06 (Significant Correction to Prior Quarterly Assessment).

4. Enter the ARD of the Prior Assessment: Once a significant error has been identified and confirmed, enter the ARD of the prior comprehensive or Quarterly assessment where the error was found.

5. Documentation: Document the rationale for the significant correction, including how the error was identified and the impact of the correction on the resident's care plan, reimbursement, or quality measures.

6. Submission: Submit the corrected assessment following your facility's protocol and ensure it is transmitted to the appropriate state and/or federal databases in a timely manner.

Key Points to Remember:

• A2200 is only completed if there is a significant correction to be made to a prior comprehensive or Quarterly assessment.
• The ARD for A2200 is the date of the assessment being corrected, not the date the correction is made.
• Thorough documentation and rationale for the correction are essential for compliance and audit purposes.

The Step-by-Step Coding Guide for item A2200 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.