A0310B


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Property Specification
Data System MDS
Data Specs V3.00.1
Description Type of assessment: PPS
Group Asmt
Type Code
Length 2
Fixed Start-End 272-273
Version Notes [V3.00.0]-Values [02,03,04,05,07] were removed as valid values for this item. Added [08] as a valid value.

Item Subsets
Active NC,NQ,NP,ND,NT,NPE,IPA,SP,SD,ST
Inactive OSA,XX
State optional

Item Values
Value LOINC Text
01 5-day scheduled assessment
08 IPA - Interim Payment Assessment
99 None of the above

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 ***THIS EDIT WAS DELETED IN V3.00.0***
-3608 Consistency Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3571 Consistency Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-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.
-3819 Consistency Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3825 Consistency Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3826 Consistency Fatal If B0100=[0,-] and A0310G=[2] and A0310A=[99] and A0310B=[99], then all active items from C0100 through C0600 must equal [^] and all active items from C0700 through C1000 must not equal [^].
-3835 Consistency Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3836 Consistency Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3837 Consistency Fatal If B0100=[0,-] and A0310G=[2] and A0310A=[99] and A0310B=[99], then all active items from J0200 through J0850 must equal [^].
-3831 Consistency Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3824 Consistency Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3876 Consistency Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3891 Consistency Warning Self-Care and Mobility Discharge Goals: If A0310B=[01], then at least one of the Discharge Goal items (GG0130A2, GG0130B2, GG0130C2, GG0130E2, GG0130F2, GG0130G2, GG0130H2, GG0170A2, GG0170B2, GG0170C2, GG0170D2, GG0170E2, GG0170F2, GG0170G2, GG0170I2, GG0170J2, GG0170K2, GG0170L2, GG0170M2, GG0170N2, GG0170O2, GG0170P2, GG0170R2, GG0170S2) should be equal to [01,02,03,04,05,06,07,09,10,88]. Entering the dash [-] as the response to all of the Discharge Goal items may result in a payment reduction of two percentage points for the affected payment determination.
-3914 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. With the exceptions of the IPA and OSA ISCs, 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, 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_10012019()) 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.
-3915 Consistency Fatal a) If B0100=[0] and A0310G=[1,^], then if C0100 is active it must not equal [^].
b) If B0100=[-] and A0310G=[1,^], then if C0100 is active it must equal [-].
c) If B0100=[0] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01]), then if C0100 is active it must not equal [^].
d) If B0100=[-] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01]), then if C0100 is active it must equal [-].
-3916 Consistency Fatal a) If B0100=[0] and A0310G=[1,^], then if D0100 is active it must not equal [^].
b) If B0100=[-] and A0310G=[1,^], then if D0100 is active it must equal [-].
c) If B0100=[0] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01]), then if D0100 is active it must not equal [^].
d) If B0100=[-] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01]), then if D0100 is active it must equal [-].
-3917 Consistency Fatal If this is a PPS assessment (A0310B=[01,08]), then the Medicare number (A0600B) must be present (not [^]). Thus, the submission will be rejected if this is a PPS assessment and A0600B is equal to [^].
-3918 Consistency Fatal a) If B0100=[0] and A0310G=[1,^], then if J0200 is active it must not equal [^].
b) If B0100=[-] and A0310G=[1,^], then if J0200 is active it must equal [-].
c) If B0100=[0] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01]), then if J0200 is active it must not equal [^].
d) If B0100=[-] and A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01]), then if J0200 is active it must equal [-].
-3920 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] 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] OR A0310F must equal [10,11].
-3922 Consistency Fatal a) If A0310G=[2] and A0310A=[99] and A0310B=[99], then if the following items in Column 2 are active, they must equal [^]: K0510C2, K0510D2 and K0510Z2.
b) If A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01]), then if the following items in Column 2 are active, they must not equal [^]: K0510C2, K0510D2 and K0510Z2.
c) If A0310G=[1,^], then if the following items in Column 2 are active, they must not equal [^]: K0510C2, K0510D2 and K0510Z2.
-3923 Consistency Fatal If A0310B=[08], then the following items in Column 1 must not be equal to [^]: K0510A1, K0510B1, K0510Z1. Otherwise:

a) If A2300 (assessment reference date) minus A1600 (entry date) is greater than or equal to 7 days, then the following items in Column 1 must be equal to [^]: K0510A1, K0510B1, K0510Z1.

b) If A2300 (assessment reference date) minus A1600 (entry date) is less than or equal to 6 days, then the following rules apply:
---b1) If the following items in Column 1 are active, they must not equal [^]: K0510A1 and K0510B1.
---b2) If A0310G=[2] and A0310A=[99] and A0310B=[99], then if the following item in Column 1 is active, it must equal [^]: K0510Z1.
---b3) If A0310G=[2] and (A0310A=[01,02,03,04,05,06] or A0310B=[01]), then if the following item in Column 1 is active, it must not equal [^]: K0510Z1.
---b4) If A0310G=[1,^], then if the following item in Column 1 is active, it must not equal [^]: K0510Z1.
-3924 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]) and A0310F=[99] and A0310H=[1], then if A2300 and A2400C are active, A2300 must be equal to A2400C.

(b) If A0200=[2] and A0310B=[01] and A0310F=[99] and A0310H=[1], then if A2300 and A2400C are active, A2300 must be equal to A2400C.

(c) If A0310F=[10,11] and A0310H=[1], then if A2000 and A2400C are active, ((A2400C = A2000) OR (A2000 - A2400C = 1)).
-3930 Consistency Fatal If B0100=[0,-] and A0310G=[2] and A0310A=[99] and A0310B=[99], then all active items from D0100 through D0600 must equal [^].
-3947 Consistency Fatal Prevent Interrupted Stay on SD ISC.

If A0200=[2] and A0310A=[99] and A0310B=[99] and A0310F=[10,11], then A0310G1 must not be equal to [1].
-3951 Consistency Fatal If A0310B=[08], then A0310F must equal [99].
-3953 Consistency Fatal If A0310B=[08], then A0310E must equal [0].
-3954 Consistency Fatal If A0310B=[08], then A0410 must equal [3].
-3883 Skip pattern Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3889 Skip pattern Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3894 Skip pattern Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3902 Skip pattern Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3903 Skip pattern Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3904 Skip pattern Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3905 Skip pattern Fatal ***THIS EDIT WAS DELETED IN V3.00.0***
-3919 Skip pattern Fatal If A0310B=[01,08], then I0020 and I0020B must not equal [^].
-3921 Skip pattern Fatal a) If A0310B=[01], then the following items must not be equal to [^]: GG0130A1, GG0130A2, GG0130B1, GG0130B2, GG0130C1, GG0130C2, GG0130E1, GG0130E2, GG0130F1, GG0130F2, GG0130G1, GG0130G2, GG0130H1, GG0130H2.

b) If A0310B=[99], then the following items must be equal to [^]: GG0130A1, GG0130A2, GG0130B1, GG0130B2, GG0130C1, GG0130C2, GG0130E1, GG0130E2, GG0130F1, GG0130F2, GG0130G1, GG0130G2, GG0130H1, GG0130H2.
-3925 Skip pattern Fatal a) If A0310B=[01], then if J2000 is active, it must not be equal to [^].

b) If A0310B=[99], then if J2000 is active, it must be equal to [^].
-3926 Skip pattern Fatal a) If A0310B=[01], then if N2001 is active, it must not be equal to [^].

b) If A0310B=[99], then if N2001 and N2003 are active, they must be equal to [^].
-3927 Skip pattern Fatal a) If A0310B=[01], then the following items, when active, must not be equal to [^]: GG0170A1, GG0170A2, GG0170B1, GG0170B2, GG0170C1, GG0170C2, GG0170D1, GG0170D2, GG0170E1, GG0170E2, GG0170F1, GG0170F2, GG0170G1, GG0170G2, GG0170I1, GG0170I2, GG0170J2, GG0170K2, GG0170L2, GG0170M1, GG0170M2, GG0170N2, GG0170O2, GG0170P1, GG0170P2, GG0170Q1.

b) If A0310B=[99], then the following items, when active, must be equal to [^]: GG0170A1, GG0170A2, GG0170B1, GG0170B2, GG0170C1, GG0170C2, GG0170D1, GG0170D2, GG0170E1, GG0170E2, GG0170F1, GG0170F2, GG0170G1, GG0170G2, GG0170I1, GG0170I2, GG0170J2, GG0170K2, GG0170L2, GG0170M1, GG0170M2, GG0170N2, GG0170O2, GG0170P1, GG0170P2, GG0170Q1.
-3928 Skip pattern Fatal a) If A0310B=[01], then all active items from GG0100A through GG0100D must not be equal to [^].

b) If A0310B=[99], then all active items from GG0100A through GG0100D must be equal to [^].
-3929 Skip pattern Fatal a) If A0310B=[01], then all active items from GG0110A through GG0110Z must not be equal to [^].

b) If A0310B=[99], then all active items from GG0110A through GG0110Z must be equal to [^].
-3942 Skip pattern Fatal a) If A0310B=[01,08], then if J2100 is active, it must not be equal to [^].

b) If A0310B=[99], then if J2100 is active, it must be equal to [^].
-3963 Skip pattern Fatal a) If A0050 (formerly X0100)=[2,3] and X0570A=[0] and A0310B=[01,99], then the following items, when active, must not equal [^]: X0600A, X0600B, X0600F, X0600H.

b) If A0050 (formerly X0100)=[2,3] and X0570A=[1], then the following items, when active, must equal [^]: X0600A, X0600B, X0600F, X0600H.

c) If A0050 (formerly X0100)=[2,3] and X0570A=[0] and A0310B=[08], then the following items, when active, must not equal [^]: X0600A, X0600B, X0600F.

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Generated: 08/20/2019 08:20:02 AM