Reminder: DUA and VRDC access needs to be extended or renewed annually. Read more.
Indicates the extent to which the patient received active range of motion nursing rehabilitation intervention. Range of motion exercise is a program of exercises performed by the patient, with cueing or supervision by staff, that are planned, scheduled, and documented.
Indicates the extent to which the patient received splint or brace assistance. Assistance can be of two types: 1) where staff provide verbal and physical guidance and direction that teaches the patient how to apply, manipulate, and care for a brace or splint, or 2) where staff have a scheduled program of applying/removing a splint or brace.
Indicates the extent to which the patient participated in activities to improve or maintain his self-performance in moving to and from a lying position, turning side to side, and positioning him or herself in bed.
Indicates the extent to which the patient participated in activities to improve or maintain his self-performance in moving between surgaces or planes either with our without assistive devices.
Indicates the extent to which the patient participated in activities to improve or maintain his self-performance in walking, with or without assistive devices.
Indicates the extent to which the patient participated in activities to improve or maintain his self-performance in dressing and undressing, bathing, and washing, and performing other personal hygiene tasks.
Indicates the extent to which the patient participated in activities to improve or maintain his self-performance in feeding himself food and fluids, or activities used to improve or maintain his ability to ingest nutrition and hydration by mouth.
Indicates the extent to which the patient participated in activities to improve or maintain his self-performance in putting on and removing a prosthesis, caring for the prosthesis, and providing appropriate hygiene at the site where the prosthesis attaches to the body.
Indicates the extent to which the patient participated in activities to improve or maintain his self-performance in using newly acquired communication skills or assisting him in using residual communication skills and adaptive devices.
The patient's current marital status.
Indicates the number of days during the last 14-day period a physician has examined the patient.
Indicates the number of days during the last 14-day period in which a physician has changed the patient's orders.
Indicates if the physician ordered any of the therapy services to begin in the first 14 days of stay: physical therapy, occupational therapy, or speech pathology services.
Estimated number of days at least one therapy service is expected to be delivered through the patient's fifteenth day of admission.
Estimated total number of minutes of therapy the patient is expected to receive through his fifteenth day of admission.
The software will calculate the RUG-III classification for the Medicare program using the 44-Group Version 5.12 RUG-III Classification.
If the state requires the completion of the SB-MDS assessment for Medicaid swing bed payment, and the State uses a version of the RUG-III system, the Medicaid RUG-III group may be coded on the SB-MDS. RAVEN-SB does not include a State Medicaid classification program, and will NOT calculate the RUG-III group needed for state payment.
This column documents whether the patient was discharged alive.
This column documents the patient's discharge destination.
The HIPPS (Health Insurance Prospective Payment System) codes are 5-character codes used solely for billing the Medicare Part A stay under the SNF PPS. The codes reflect the 3-character RUG-III group into which the patient is classified, and a 2-character assessment indicator.
The date RN Assessment Coordinator signed the assessment as complete.
This indicates the number of unhealed Stage 2 pressure ulcers that were present at the time of admission.
This indicates the number of unhealed Stage 2 pressure ulcers that were present at the time of discharge.
This indicates the number of unhealed Stage 3 pressure ulcers that were present at the time of admission.
This indicates the number of unhealed Stage 3 pressure ulcers that were present at the time of discharge.
This indicates the number of unhealed Stage 4 pressure ulcers that were present at the time of admission.
This indicates the number of unhealed Stage 4 pressure ulcers that were present at the time of discharge.
The community address where the patient last resided prior to swing bed admission.
The hospital's state Medicaid provider identification number.
The hospital's Medicare provider number.
This column identifies the type of record submitted.
The data in this column indicates the number of correction requests to modify/inactivate the existing record, including the present one.
This is the State Provider Number of the provider submitting the record.
This column identifies the type of provider (nursing home or swing bed) submitting the assessment. This value is used in conjunction with the Type of Assessment fields (A0310A, A0310B, A0310C, A0310D and A0310F) to determine the ISC.
This column contains the end date of the observation period of the assessment.
This column indicates the reason for the assessment.
Value indicating whether the state requires this assessment for payment.
Type of assessment.
This column contains the federal OBRA reason for assessment value.
This column contains the PPS (Prospective Payment System) reason for assessment value.
This column contains the PPS Other Medicare Required Assessment value.
The data in this column indicates if the assessment is a swing bed clinical change assessment.
The data in this column indicates if this assessment is the first assessment since the most recent admission.
The data in this column indicates whether the assessment is an Entry or Discharge record.
The data in this column indicates the type of discharge code.
Indicates whether or not an interrupted stay occurred.
Indicates if the assessment is a PPS Part A Stay Discharge record.
The data in this column indicates if the assessment is a SUB_REQ (submission required) 2 [State Required] or 3 [Federal Required] submission.
Indicates the patient's self reported race.
The data in this column indicates if the resident needs an interpreter.