Nursing homes and other healthcare facilities must ensure that assessments are conducted and coordinated by a registered nurse and certified as complete, and all individuals who complete a portion of the assessment must sign and certify to the accuracy of the portion they completed. Electronic signatures are allowed when permitted by state and local law, and when authorized by the facility’s policy. Backdating completion dates of assessments is not allowed. Patterns of MDS assessments and submissions that result in higher scores or unflagging of Quality Measures, where the information does not accurately reflect the resident’s status, may be indicative of payment fraud or attempts to avoid reporting negative quality measures, and should be reported to the Regional Office and Medicaid Fraud Control Unit. Nursing homes and healthcare facilities must ensure that assessments accurately reflect the resident’s status and follow all applicable laws and regulations.

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