X0200. Name of Resident

Step-by-Step Coding Guide for Item Set X0200: Name of Resident

1. Review of Medical Records

• Objective: Ensure the resident's name is accurately reflected in their medical records.
• Key Points:
  • Examine the resident's admission paperwork, identification documents (e.g., driver's license, passport), and previous medical records to confirm the correct spelling and format of the resident's name.
  • Pay attention to any discrepancies in name spelling or use of middle names/initials across different documents.

2. Understanding Definitions

• Objective: Clarify what constitutes the "Name of Resident."
• Key Points:
  • Name of Resident: The legal name of the individual receiving care, which includes the first name, middle name/initial (if applicable), and last name.

3. Coding Instructions

• Objective: Provide guidance on accurately entering the resident's name.
• Key Points:
  • Enter the resident's full legal name as it appears on official identification documents.
  • Include middle names or initials if they are part of the resident's legal name.

4. Coding Tips

• Double-check the spelling of the resident's name against official documents to prevent errors.
• Be consistent in the use of the resident's name across all documentation to avoid confusion.

5. Documentation

• Objective: Maintain clear and consistent documentation of the resident's name.
• Key Points:
  • Document any aliases or preferred names separately, noting that the name used in X0200 is the legal name.
  • Record any changes in the resident's legal name (e.g., due to marriage, divorce, legal change) in their file, including the date of change and a copy of the official documentation.

6. Common Errors to Avoid

• Failing to use the resident's legal name, leading to discrepancies in medical records and potential issues with insurance or legal documentation.
• Misspelling the resident's name or using informal nicknames without noting the legal name.

7. Practical Application

• Scenario: A new resident, Elizabeth Marie Johnson, has been admitted. Her driver's license and social security card both list her full name, including her middle name. The MDS coordinator ensures that her full legal name is entered as "Elizabeth Marie Johnson" in X0200. They also note in her personal file that she prefers to be called "Liz" by staff and residents.

The Step-by-Step Coding Guide for item X0200 in MDS 3.0 Section X 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.