HOW SECTION K OF THE MDS WILL IMPACT REIMBURSEMENT UNDER PDPM

Updated: Jun 5, 2019


WHAT DO I NEED TO CONSIDER WITH REGARD TO DATA COLLECTION FOR SECTION K?

The implementation of PDPM on 10/1/19 will bring with it a wave of change and new significance to how items on the MDS are coded.  This puts a spotlight on the clinical documentation in the medical record, the data collection process, and the accuracy of the information reported on the MDS.  One particular area that is going to be highlighted under PDPM is Section K: Swallowing/Nutritional Status of the MDS and how it ties into the Speech Therapy payment component of PDPM.


While no changes are being made to the questions in Section K, multiple items that previously did not impact reimbursement are now going to be directly tied to payment under PDPM. ​


K0100. Swallowing Disorder This question asks if there are any signs or symptoms of a possible swallowing disorder during the seven-day look-back period of the MDS.  This infers that the person completing the MDS must address the following steps for assessment:Asking the resident if he or she had any difficulty swallowingObserving the resident during meals or while eating or drinkingInterviewing staff on all shifts who worked with the residentReviewing the medical record, including but not limited to physician, dietician, and therapy notes.