Knowledge Base Article #723:

M0450 and M0460 are not displaying in type-4 RECRT Assessment

Both M0450 and M0460 are valid questions in the Recert assessment.  Unless you answer YES to the psuedo question (Does this patient have a pressure ulcer?), then you will not see the Pressure Ulcer questions M0450 and M0460.
 
Below is the actual data pulled from CMS' OASIS-Specs for each of the questions.  Please see the line that says "Active on RFA' where it lists the assessment types that contain the question.  Also note at the bottom under the Consistency Required section (*3) where it indicates the question may be either blank or answered for an RFA 4 or 5. 
 
The validation warnings are valid and require no action if the questions are supposed to be blank. 
 

M0450_NBR_PRSULC_STG1



Property

Specification

Data System

OASIS

Data Spec Version

1.40

Record Type

Submission body record

Description

No. Pressure Ulcers - Stage 1

Item Text

a) Stage 1: Nonblanchable erythema of intact skin; the heralding of skin ulceration. In darker-pigmented skin, warmth, edema, hardness, or discolored skin may be indicators.

Responses

0 - Zero
1 - One
2 - Two
3 - Three
4 - Four or more

Length

2

Start

540

End

541

Active on RFA

01,03,04,05,09

Blank on RFA

06,07,08

Picture

XX

Type

CODE

*Range if Active

00 thru 04, sp(2)

Format Info

00=Zero, 01=One, 02=Two, 03=Three, 04=Four or more

Consistency Required

*1. If M0440_LESION_OPEN_WND=0 (zero), then M0450_NBR_PRSULC_STG1 must be blank.

*2. If
M0445_PRESS_ULCER=0 (zero), M0450_PRSULC_STG1 must be blank.

*3. If
M0100_ASSMT_REASON=04 or 05, then the skip pattern based upon M0445_PRESS_ULCER does not apply. All of the items from M0450_NBR_PRSULC_STG1 through M0450_UNOBS_PRSULC may be blank, or they must all contain valid non-blank values.

Version Notes


 
 
 
 

M0460_STG_PRBLM_ULCER



Property

Specification

Data System

OASIS

Data Spec Version

1.40

Record Type

Submission body record

Description

Stage of Most Problematic Pressure Ulcer

Item Text

(M0460) Stage of Most Problematic (Observable) Pressure Ulcer:

Responses

1 - Stage 1
2 - Stage 2
3 - Stage 3
4 - Stage 4
NA - No observable pressure ulcer

Length

2

Start

549

End

550

Active on RFA

01,03,04,05,09

Blank on RFA

06,07,08

Picture

XX

Type

CODE

*Range if Active

01 through 04, NA, sp(2)

Format Info

Right justified; pad left with zero. Any letters must be upper case.

Consistency Required

*1. If M0440_LESION_OPEN_WND=0 (zero), then M0460_STG_PRBLM_ULCER must be blank.

*2. If
M0445_PRESS_ULCER=0 (zero), M0460_STG_PRBLM_ULCER must be blank.

*3. If
M0100_ASSMT_REASON=04 or 05, the skip pattern based upon M0445_PRESS_ULCER does not apply. M0460_STG_PRBLM_ULCER may contain either blanks or a valid non-blank value, subject to consistency note 4 below.

*4. If
M0450_NBR_PRSULC_STG1 through M0450_UNOBS_PRSULC are all blank or all zeroes, M0460_STG_PRBLM_ULCER must be skipped (blank). If any of the items from M0450_NBR_PRSULC_STG1 through M0450_NBR_PRSULC_STG4 = 01, 02, 03, or 04, or M0450_UNOBS_PRSULC = 1, M0460_STG_PRBLM_ULCER must have a valid non-blank value.

Version Notes


 
Keywords: recert, careportal, assessment, M0450, M0460
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