Step-by-Step Coding Guide for Item Set X1100A: Correction: Attestor First Name

1. Review of Medical Records

• Objective: Ensure that the first name of the attestor (individual who has signed the MDS as verifying its completeness and accuracy) is correctly documented in the MDS.
• Action: Verify the attestor's first name by comparing it against official documents such as employment records, identification badges, or HR files.

2. Understanding Definitions

• Attestor: The individual, typically a healthcare professional such as an RN or MDS Coordinator, who attests to the accuracy and completion of the MDS.

3. Coding Instructions

• Verify the First Name: Ensure that the first name of the attestor recorded in the MDS matches the name on their official identification or employment records.
• Correct the Name in MDS: If discrepancies are found, update the MDS to reflect the correct first name.

4. Coding Tips

• Accuracy in Spelling: Pay close attention to the spelling of the first name to avoid common typographical errors.
• Confidentiality: Handle all personal information with confidentiality during the verification process.

5. Documentation

• Record-Keeping: Maintain a record of the original name entry, the evidence used for the correction, and the corrected entry.
• Audit Trail: Document who made the correction, when it was made, and any communication with HR or administrative personnel regarding the verification of the attestor’s name.

6. Common Errors to Avoid

• Incorrect Verification Sources: Ensure that reliable and official sources are used for name verification to avoid misinformation.
• Overlooking Similar Names: Be cautious of similar names or common misspellings that might lead to repeated errors.

7. Practical Application

• Example: During a routine audit, it was found that the attestor's first name was recorded in the MDS as "Jon" instead of "John." The MDS Coordinator reviewed the attestor's employee file and ID badge, confirmed the correct spelling, and updated the MDS to reflect "John." This correction was documented on April 3, 2024, including references to the HR documentation as verification, and an entry was made in the compliance log to ensure transparency.

Please note that the information provided in this guide for MDS 3.0 Item setX1100A 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.