A0200


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Property Specification
Data System MDS
Data Specs V2.00.1
Description Type of provider
Group Asmt
Type Code
Length 1
Fixed Start-End 269-269
Version Notes [V2.00.0]-Item added to the new NPE and SPE item subsets.
[V2.00.1]-Item is no longer associated with the SPE item subset, which was deleted per issue 09 of the errata for V2.00.0.

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

Item Values
Value LOINC Text
1 Nursing home (SNF/NF)
2 Swing bed

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, A0310F, and A0310H. 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_10012016()) 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.
-3608 Consistency Fatal a) If A0200=[1] (this is a nursing home record) and A0310E is equal to
[1], then A0310A must equal [01,02,03,04,05,06] OR A0310B must
equal [01,02,03,04,05,06] OR A0310F must equal [10,11].

b) If A0200=[2] (this is a swing bed record) and A0310E is equal to [1],
then A0310B must equal [01,02,03,04,05,06] OR A0310F must equal
[10,11].
-3706 Consistency Fatal The submitted value of A0200 will be checked against the information stored in CMS's database. For nursing homes, A0200 must equal [1]. For swing-bed providers, A0200 must equal [2]. If the value submitted for A0200 is inconsistent with the information stored in CMS's database, a fatal error will occur and the submitted record will be rejected.
-3707 Consistency Fatal a) If A0200=[2] (if the provider is a swing bed provider), then A0410 (submission requirement) must equal [3] (it cannot equal [1,2]).

b) If A0200=[1] (the provider is a nursing home), then A0410 must equal [2,3].

c) For both nursing homes and swing bed providers, A0410 must not be equal to [1].
-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.
-3876 Consistency Fatal Date restrictions when combining SNF PPS Part A Discharge assessments with other assessment types:

(a) If A0200=[1] and (A0310A=[01,02,03,04,05,06] or A0310B=[01,02,03,04,05]) and A0310F=[99] and A0310H=[1], then A2300 must be equal to A2400C.

(b) If A0200=[2] and A0310B=[01,02,03,04,05] and A0310F=[99] and A0310H=[1], then A2300 must be equal to A2400C.

(c) If A0310F=[10,11] and A0310H=[1], then ((A2400C = A2000) OR (A2000 - A2400C = 1)).
-3801 Skip pattern Fatal a) If A0200=[1], then if A0310D is active it must equal [^].
b) If A0200=[2], then if A0310D is active it must not equal [^].

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