A0310C


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Property Specification
Data System MDS
Data Specs V1.15.0
Description Type of assessment: OMRA
Group Asmt
Type Code
Length 1
Fixed Start-End 274-274
Version Notes

Item Subsets
Active NC,NQ,NP,NS,NSD,NO,NOD,ND,NT,SP,SS,SSD,SO,SOD,SD,ST
Inactive XX
State optional

Item Values
Value LOINC Text
0 No
1 Start of therapy assessment
2 End of therapy assessment
3 Both Start and End of therapy assessment
4 Change of therapy assessment

Item Edits
Edit ID Type Severity Edit Text
-3676 Format Fatal Values of Code and Checklist Items:
Only the coded values listed in the "Item Values" table of the Detailed Data Specifications Report may be submitted for this item.
-3607 Consistency Fatal The Item Subset Code (ISC) is a two- or three-character code that indicates the type of record that is being submitted. The set of active items is controlled by the ISC. The characters of the ISC are defined as follows:

Character 1 indicates the type of provider and is based upon the value of A0200, as follows:
a) If A0200 is equal to [1] (nursing home record), then character 1 of the ISC is equal to [N].
b) If A0200 is equal to [2] (swing bed record), then character 1 of the ISC is equal to [S].

Characters 2 and 3 indicate the type of record and are based upon the values of the Reason For Assessment (RFA) items A0310A, A0310B, A0310C, A0310D, and A0310F. The "Item Subset Code (ISC) Report" that accompanies the data specs lists all possible combinations of the RFA items and their associated ISCs. If the ISC that is listed in the report is equal to dashes, then the combination of RFA items is not allowed. If a record is submitted with one of these invalid RFA combinations, a fatal error will occur and it will be rejected.

The ISC_VAL table that is contained in the data specifications Access database is used to generate the ISC report and can be used by programmers as a lookup table. In addition, an appendix of the overview document that accompanies these data specifications contains source code for a Visual Basic function (GetISC()) that can be used to determine the ISC that is associated with any combination of the RFA items.

For a more complete explanation of the meaning and use of the ISC codes, please refer to the documentation that accompanies these data specifications.
-3796 Consistency Fatal The submission system will recalculate the ISC and compare the recalculated value with the value that is submitted in ITM_SBST_CD. If A0050 (formerly X0100)=[3] (the record is an inactivation), then the recalculated ISC value will be [XX]. If A0050=[1,2] (the record is a new record or a modification record), then the recalculated ISC value will be based upon the submitted RFA values. In either case, if the recalculated value does not match the value submitted in ITM_SBST_CD, a fatal error will result.
-3804 Consistency Fatal If A0310C=[1,3] (the assessment is a start-of-therapy OMRA assessment), then the Medicare Part A Billing HIPPS code that is submitted in Z0100A will be recalculated. The first byte of the recalculated HIPPS code must equal [R]. If it does not equal [R], then a fatal error will result and the record will be rejected.
-3812 Consistency Fatal a) If A0310C=[2,3] and A0310F=[99], then if O0450A is active it must equal [0,1,-].
b) If A0310C=[0,1,4] or A0310F=[01,10,11,12], then all active items from O0450A through O0450B must equal [^].

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Generated: 03/11/2015 04:34:37 PM