QI/Regulatory > RAI Control Table

When the RAI Control Table is opened, it defaults to the MDS System tab, which contains four sections: Demographics, Reports, MDS Data and Alternate Departments. Each of these sections will be discussed in depth below. This table may also be accessed under the Nursing Administration department's Print Reports menu from Hospital Base Menu > Print Reports > RAI Control Maintenance.

NOTE: In any area of the RAI Control, be sure to select Save after making changes.

Demographics

This section contains information that is required for submitted data to be accepted by the state and ultimately by CMS.

•The Federal Number is the facility's Medicare Provider Number. There is a 12-character maximum for this field.

•The Facility ID Code is provided to the facility by the state. The user may enter up to 16 characters in this field.

•The National Provider ID is a HIPAA standard that is used by all covered healthcare providers. This field accepts entry of 10 characters.

•The State Provider Number is the Medicaid Provider Number that is defined by the state. This is required for facilities that provide health services to Medicaid recipients.

•The CMS Certification Number (CCN), or Medicare Certification Number, field allows up to 12 characters to be entered.

•The Facility Name field designates the facility's name as it appears according to the state records. Up to 30 characters may be entered here.

•The Facility Address fields designate the facility's address as it appears according to the state records. Up to 30 characters may be entered in each of the first two Address lines; up to 20 characters may be entered for the City field; two characters are allowed for the State field and up to nine characters may be placed into the Zip Code field.

•The Contact Person, Phone and Extension fields allow the name of the facility contact person, as well as the contact's phone number (and extension if applicable), to be entered.

NOTE: The Facility Name, Address, City, State, and Contact Person fields should be entered in all caps.

Reports

This section contains general information about various reporting options available in the RAI system.

•The MDS Locking field consists of a check-box and is used to allow or disallow assessments in the RAI system to be locked.

•State Collection of Non-Certified Units (SUB-REQ=2) indicates that the facility's state may collect assessment data on residents in units that are not Medicare certified. This field consists of a checkbox to designate whether or not the state collects data in this situation.

•The field All residents print to Census and Condition & Roster Sample Matrix indicates whether the facility will utilize the CMS-Form 672 (Census and Condition Report) and CMS-Form 802 (Roster/Sample Matrix report). Refer to the Resident Assessment Instrument user guide for more detailed information about these reports.

NOTE: This section previously contained a field allowing the user to select which format of the Tickler Report was active. This field was a holdover from MDS 2.0 and has been removed with the introduction of a newer Tickler Report. Please see the Resident Assessment Instrument user guide for more details.

MDS Data

•The Ver 3.0 Date field indicates the date the facility began using the MDS 3.0 update to the RAI system. If unsure of what should be placed in this field, the user may type 100110 (October 1, 2010), which was the MDS 3.0 start date mandated by CMS, then press Enter on the keyboard.

•The TruBridge system uses up to five patient stay types to define in-patients, out-patients, emergency department patients, and up to two user-defined other types of patients. The Nursing Home Patient Type field allows the user to select which stay type(s) will grant access to the RAI System, as well as which types of patients will be included when running the RAI Tickler Report. To grant a stay type access to the RAI System, select the box next to each numeric (1-5) stay type to make a check mark appear in the box, and address the Provider Number next to that stay type if applicable.

NOTE: Facilities with both a nursing home or long term care and a swing bed unit may need to mark multiple stay types.

•The Provider Number fields, located next to each stay type, define each stay type's Medicaid Provider Number. Up to 15 characters may be entered here.

•The State-Optional Questions field activates or inactivates, by way of a check box, specific fields in certain sections and assessment types that may be required by the facility's state.

NOTE: This field does not apply to Section S.

Alternate Departments

•The option to Use Multiple LTC Departments is indicated if the facility has multiple departments that submit RAI assessment data, if each department has a separate set of provider numbers and receives reimbursement separately, as separate facilities. A common example of this is a hospital with a swing bed unit and an associated yet separate long term care facility that is off campus.

•If multiple departments are indicated, a button labeled Departments may be selected that will allow the user to address the demographic fields for each separate department.

NOTE: Alternate departments may be required if each unit utilizes separate provider numbers.

•Up to six additional departments may be entered in this area.

•If changes are made on this screen, select Save.

•Select the back arrow from the action bar to return to the previous screen.