Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
to Resident (cont.)
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
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to Resident (cont.)
Use this item when the facility is completing content tied to Section A and needs to stay anchored to v1.20.1.
This page is grounded in CMS MDS 3.0 RAI Manual v1.20.1. Review the exact text and locators before treating the item as final reference content.
to Resident (cont.) 4. A SNF participates in a regional HIE as does a local acute care hospital. When residents are discharged to this acute care hospital, the SNF’s discharge medication list is included in the medications section of a transfer summary document from its EHR, which is electronically exchanged through the HIE. The acute care hospital is then able to obtain and integrate the medication information into its EHR.
Coding: Check Electronic Health Record (A) and Health Information Exchange (B) for
A2122.
Rationale: The medication information is exchanged by the regional HIE through
health IT standards. Sending the medication information in transfer summary allows the acute care hospital to integrate the medication information into its EHR. Code as EHR (A), since it was used to generate and exchange the information, and as HIE (B), since it is the means through which information exchange is possible with external providers.
5. A SNF has developed an interface that allows documents from its EHR to be electronically
faxed to the subsequent provider. The SNF’s EHR connects via a phone line to a designated receiver’s secure email at the subsequent provider.
Coding: Check paper-based (D) for A2122.
Rationale: Faxing information is considered paper-based as faxed documents are
comparable to hard-copy documents and not computable.
6. A SNF generates the current reconciled medication list electronically from the medication
administration record (MAR) and treatment administration record (TAR) and electronically sends via secure email to the subsequent provider.
Coding: Check Other Method (E) for A2122.
Rationale: Providing the medication list through secure email is considered “Other
Method” for coding this item. The source of the medication list is not the EHR, and the list is not transmitted directly to the subsequent provider’s EHR, so do NOT check EHR (A).