X1100. RN Assessment Coordinator Attestation of Completion

Step-by-Step Coding Guide for Item Set X1100: RN Assessment Coordinator Attestation of Completion

This guide is crafted to assist in accurately completing and documenting the RN Assessment Coordinator's attestation of completion for the MDS 3.0, as specified in item X1100.

1. Review of Medical Records

• Objective: Ensure the MDS assessment is complete  before attestation.
• Key Points:
  • The RN Assessment Coordinator should review the entire MDS assessment for completeness , 

2. Understanding Definitionsand accuracy

• Objective: Clarify the role and responsibility of the RN Assessment Coordinator in the MDS process.
• Key Points:
  • RN Assessment Coordinator: A registered nurse responsible for coordinating the completion of the MDS assessment, and attesting to its completion. This attestation confirms that the assessment is compolte reflects the resident's status.

3. Coding Instructions

• Objective: Provide guidance on completing X1100 accurately.
• Key Points:
  • The RN Assessment Coordinator must sign and date the MDS assessment to attest to its completion. This act confirms that the information is complete to the best of the RN's knowledge and belief.

4. Coding Tips

• Ensure that the RN Assessment Coordinator has access to all necessary documentation to verify the accuracy of the MDS assessment.
• The RN should perform a final review of the MDS assessment before signing, focusing on key sections that impact care planning and reimbursement.

5. Documentation

• Objective: Maintain documentation supporting the RN Assessment Coordinator's attestation.
• Key Points:
  • Document the date of the RN Assessment Coordinator's review and attestation, and maintain a record of any supporting documents reviewed as part of this process.
  • If electronic signatures are used, ensure the system complies with federal and state regulations regarding electronic health records.

6. Common Errors to Avoid

• The RN Assessment Coordinator attesting to the completion of the MDS without thoroughly reviewing it for accuracy and completeness.
• Failing to document the attestation process or maintain records of the documentation reviewed during the attestation.

7. Practical Application

• Scenario: Jane Doe, RN Assessment Coordinator, completes the final review of Mr. Smith's MDS assessment. She cross-checks his care plan, recent medical evaluations, and therapy notes to ensure all sections of the MDS accurately reflect his current health status and care needs. After confirming the assessment's accuracy, Jane signs and dates the attestation section on the MDS, officially documenting her review and approval on May 15, 2023.

The Step-by-Step Coding Guide for item X1100 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.