MDS review definition

MDS review means a formal official verification and methodical examination and review of resident assessment data and its supporting documentation by the office or their designee.
Sample 1Sample 2
MDS review means a formal official verification and methodical examination and
Sample 1Sample 2

Examples of MDS review in a sentence

  • Upon conclusion of an MDS review, the office shall recalculate the facility's CMI.

  • Based on findings from the MDS review the office shall make adjustments or revisions to all MDS data items that are required to classify a resident pursuant to the RUG-IV resident classification system that are not supported according to the MDS supporting documentation requirements as set forth in 405 IAC 1-15.

  • A 5% shift in exchange rates would results a foreign exchange gain or loss of approximately $19,000.

  • Re-Hire of Sales Representatives 43Appendices! Exhibit A: Acknowledgement of Receipt and Alternative Dispute Resolution AgreementB.

  • For the third Reporting Period, Whittier shall be required to conduct the Minimum Data Set (MDS) Review outlined in Appendix B to the CIA, except that the MDS review shall be conducted at two (rather than three) facilities (known as the "Subject Facilities") and the IRO shall randomly select and review a sample of50 (rather than 100) Paid Claims from each Subject Facility.

  • Upon request by the department or its contractor, the nursing facility shall be required to produce a computer- generated copy of the transmitted MDS assessment which shall be the basis for the MDS review.

  • The department shall notify the facility not less than two business days prior to the start of the MDS review date.

  • A follow-up MDS review may be performed at the discretion of the Department at least 30 days after the facility's 90-day correction period.

  • A FAX, electronic mail, or other form of communication will be provided to the administrator and MDS coordinator on the same date identifying documentation that must be available at the start of the on-site MDS review.

  • In many nursing facilities physicians are not brought into the MDS review and assessment process.

Related to MDS review

  • Utilization review means the prospective (prior to), concurrent (during) or retrospective (after) review of any service to determine whether such service was properly authorized, constitutes a medically necessary service for purposes of benefit payment, and is a covered healthcare service under this plan. WE, US, and OUR means Blue Cross & Blue Shield of Rhode Island. WE, US, or OUR will have the same meaning whether italicized or not. YOU and YOUR means the subscriber or member enrolled for coverage under this agreement. YOU and YOUR will have the same meaning whether italicized or not.

  • Independent review organization means an entity that is accredited to conduct independent external reviews of adverse benefit determinations.

  • Clinical review criteria means the written screening procedures, decision abstracts, clinical protocols, and practice guidelines used by a health carrier to determine the necessity and appropriateness of health care services.

  • Utilization review organization means an entity that conducts utilization review, other than a health carrier performing a review for its own health plans.

  • Supervisory Review means ongoing clinical case reviews in accordance with procedures developed by ADMINISTRATOR, to determine the appropriateness of Diagnosis and treatment and to monitor compliance to the minimum ADMINISTRATOR and Medi-Cal charting standards. Supervisory review is conducted by the program/clinic director or designee.

  • Asset Review means any review of representations and warranties conducted by a Non-Lead Asset Representations Reviewer, as contemplated by Item 1101(m) of Regulation AB.

  • Prospective review means utilization review conducted prior to an admission or a course of treatment.