Understanding and Coding MDS 3.0 Item X1100E: Correction Attestation Date

Understanding and Coding MDS 3.0 Item X1100E: Correction - Attestation Date

Introduction

Purpose: The Minimum Data Set (MDS) 3.0 is a key tool in long-term care facilities used for assessing residents' needs and managing administrative processes, including the correction of assessment records. MDS Item X1100E, "Correction - Attestation Date," is specifically designed to capture the date when the RN Assessment Coordinator attests to the completion of a correction request. This guide provides detailed instructions on how to correctly code X1100E, ensuring compliance with CMS requirements for correcting MDS records.

What is MDS Item X1100E?

Explanation: MDS Item X1100E is used to record the date on which the facility staff member, typically the RN Assessment Coordinator, attests to the completion of the corrected information in the MDS record. This item is crucial for documenting when the attestation occurs, ensuring that the correction process is properly tracked and completed within the required timeframe.

Guidelines for Coding X1100E

Coding Instructions:

1. Attestation Date:

   • Enter the date on which the RN Assessment Coordinator or other authorized facility staff member attests to the completion of the corrected information.
   • The date should be entered using a two-digit month, two-digit day, and four-digit year format (MMDDYYYY). For example, if the attestation occurred on January 2, 2024, it should be entered as 01022024.
   • Ensure that all boxes are filled. For any one-digit month or day, add a leading zero. For instance, May 5, 2024, should be entered as 05052024.

2. Accuracy:

   • It is vital to ensure that the attestation date accurately reflects the actual date of attestation to avoid discrepancies. This date must be recorded promptly and accurately as part of the correction process.

Example Scenario: A correction request is completed by the RN Assessment Coordinator on August 15, 2024. The coordinator then attests to the completion of the correction on the same day. The attestation date, August 15, 2024, should be entered as 08152024 in the MDS Item X1100E.

Best Practices for Accurate Coding

Documentation:

• Ensure that the date entered in X1100E is the exact date when the RN Assessment Coordinator attested to the correction. This helps maintain an accurate record of when the correction was officially acknowledged and prevents any potential issues with compliance.

Communication:

• Keep clear and consistent communication between the RN Assessment Coordinator and other staff members involved in the correction process to ensure that all required signatures and dates are captured accurately.

Training:

• Provide regular training to staff involved in the correction process on the importance of timely and accurate completion of Item X1100E to ensure compliance with CMS guidelines.

Conclusion

Summary: Properly coding MDS Item X1100E is essential for ensuring the integrity and compliance of the correction process within long-term care facilities. By following these guidelines, facilities can ensure that all corrections are documented accurately and in a timely manner.

Click here to see a detailed step-by-step on how to complete this item set

Reference

• CMS’s Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Pages X-11 to X-12​.

Disclaimer

Please note that the information provided in this guide for MDS 3.0 Item X1100E was originally based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. 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.