93051-1 Insurance Billing

Observation ID in Form

Z0300

Fully-Specified Name

Component

MDS v3.0 - RAI v1.17.2 - Insurance billing

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.66

Last Updated

Version 2.78

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.68: COMPONENT: Assessment version number was updated to reflect the most recent version.

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

55071-5 Billing code

Observation ID in Form

Z0300A

Fully-Specified Name

Component

Insurance case mix - RUG group

Property

Type

Time

Pt

System

^Patient

Scale

Nom

Method

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.63

Change Reason

Changed Class from SURVEY.MDS to SURVEY.CMS

Order vs. Observation

Observation

Member of these Panels

Related Names

• Nominal
• Point in time
• Random
• Resource Utilization Groups
• Survey
• Typ

Related Codes

55081-4 Billing version

Term Description

Software version code is a unique version name or number used to identify unique states or versions of computer software. Within a given version number category (major, minor), these numbers are generally assigned in increasing order and correspond to new developments in the software. At a fine-grained level, revision control is often used for keeping track of incrementally different versions of electronic information, whether or not this information is computer software.
Source: Wikipedia

Observation ID in Form

Z0300B

Fully-Specified Name

Component

Product version code

Property

ID

Time

Pt

System

Software

Scale

Nom

Method

Basic Attributes

Class

SURVEY.MDS

Type

Surveys

First Released

Version 2.27

Last Updated

Version 2.27

Member of these Panels

Related Names

• Ident
• Identifier
• Nominal
• Point in time
• Random
• Survey
• SURVEY.MDS

Related Codes

85648-4 Signature of Persons Completing the Assessment or Entry/Death Reporting

Observation ID in Form

Z0400

Form Context

I certify that the accompanying information accurately reflects resident assessment information for this resident and that I collected or coordinated collection of this information on the dates specified. To the best of my knowledge, this information was collected in accordance with applicable Medicare and Medicaid requirements. I understand that this information is used as a basis for ensuring that residents receive appropriate and quality care, and as a basis for payment from federal funds. I further understand that payment of such federal funds and continued participation in the government-funded health care programs is conditioned on the accuracy and truthfulness of this information, and that I may be personally subject to or may subject my organization to substantial criminal, civil, and/or administrative penalties for submitting false information. I also certify that I am authorized to submit this information by this facility on its behalf

Fully-Specified Name

Component

Signature of persons completing the assessment

Property

-

Time

RptPeriod

System

Form

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

70127-6 Signature of RN Assessment Coordinator Verifying Assessment Completion

Observation ID in Form

Z0500

Fully-Specified Name

Component

Signature verifying assessment completion

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.40

Last Updated

Version 2.75

Change Reason

Release 2.75: PanelType: changed from Observation to Subset Organizer; ORDER_OBS: changed from Observation to Subset Organizer; Previous Releases: Removed METHOD because this term is generic;Changed PROPERTY from Arb to Pn

Order vs. Observation

Subset

Panel Type

Organizer

Survey Question

Text

Signature of assessment coordinator verifying assessment completion

Source

LTCH-Z0500

Member of these Panels

Related Names

• Nominal
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Person name
• Pnl
• Point in time
• Random
• Sin verifying assess compl
• Survey

Related Codes

70127-6 Signature:

Observation ID in Form

Z0500A

Fully-Specified Name

Component

Signature verifying assessment completion

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.40

Last Updated

Version 2.75

Change Reason

Release 2.75: PanelType: changed from Observation to Subset Organizer; ORDER_OBS: changed from Observation to Subset Organizer; Previous Releases: Removed METHOD because this term is generic;Changed PROPERTY from Arb to Pn

Order vs. Observation

Subset

Panel Type

Organizer

Survey Question

Text

Signature of assessment coordinator verifying assessment completion

Source

LTCH-Z0500

Member of these Panels

Related Names

• Nominal
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Person name
• Pnl
• Point in time
• Random
• Sin verifying assess compl
• Survey

Related Codes

30947-6 Date RN Assessment Coordinator signed assessment as complete:

Observation ID in Form

Z0500B

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Date form completed

Property

Date

Time

Pt

System

Form

Scale

Qn

Method

Additional Names

Short Name

Date form completed

Basic Attributes

Class

ADMIN

Type

Clinical

First Released

Version 2.04

Last Updated

Version 2.61

Order vs. Observation

Observation

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random

Example Units

Related Codes