mds obra assessment scheduling tool 2022

Technology, Power of 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual, The Optional State Assessment (OSA) Item Set, OSA Manual, and OSA Change History table are now available in the Downloads section on the, The final Minimum Data Set (MDS) 3.0 Item Sets version v1.18.11 are now available in the Downloads section on the, The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Users Manual version (v)1.18.11 is now available in the Downloads section on the, MDS 3.0 for Nursing Homes and Swing Bed Providers, The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program, https://qtso.cms.gov/news-and-updates/action-required-register-iqies-account, Final OSA Manual_Item Set_Change History_October_1_2023 (ZIP), Draft_MDS-3.0-RAI-Manual-v1.18.11_October_2023 (PDF), MDS3.0_Final_Item_Sets_v1.18.11_for_Oct_1_2023 (ZIP), MDS3.0_Draft_Item_Sets_v1.18.11_for Oct_1_2023 (ZIP), MDS-3.0-PRA-Disclosure-Statement__November_2022 (PDF), MDS3.0RAIManualv1.17.1R.Errata.v2.July.15.2022 (PDF), Draft MDS3.0 NC Item Set v1.18.11 Oct2023 (PDF), MDS3.0RAIManualv1.17.1R.Errata.October.1.2021 (PDF), MDS3.0_Final_Item_Sets_v1.17.2 for October 1 2020 zip (1) (ZIP), MDS 3.0 RAI Manual v1.17.1 and Change Tables_October 2019_Part_3, MDS 3.0 RAI Manual v1.17.1 Replacement Manual Pages and Change Tables_October 2019, MDS 3.0 RAI Manual v1.17.1 and Change Tables_October 2019_Part_1, MDS 3.0 RAI Manual v1.17.1 and Change Tables_October 2019_Part_2, MDS 3.0GeneralChangeTable_v1.17 to v1.17.1, MDS3.0_Final_Item_Sets_v1.17.1_for Oct_1_2019, An update is made to the MDS RAI 3.0 Manual, A newer version of the MDS RAI 3.0 Manual becomes available; or. 0000002350 00000 n Additionally, the language of the manual has been updated throughout to be gender neutral. Get your online template and fill it in using progressive features. Click the arrow with the inscription Next to move from field to field. First, no more than 92-days are permitted between the Assessment Reference Date (A2300) of the Annual or Quarterly Assessment and a prior OBRA MDS assessment. Use this MDS Scheduling Tool to determine compliance with the assessment frequency requirement. AAPACN's Interrupted Stay Tracker tool Interrupted Stay Policy Quick Guide July 26, 2022 This Medicare-required (as compared to OBRA-required discharge assessment) was added to the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual in 2016 (policy adopted in the Fiscal Year 2016 SNF PPS Final Rule). For Medicare residents, nurse assessment coordinators (NACs) need to determine whether an interrupted stay has occurred and ensure that the correct MDS assessments, both OBRA and PPS, are in place. You should note minor status changes in the residents record. xb```b````e`cc@ >d "r;_8O&ij6}/yES LULN18+]u=ai">UpxW. For more information on the requirements for a short stay, refer to Chapter 6 of the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual. CMS and its products and services are not endorsed by the AHA or any of its affiliates. You may also contact us at ub04@healthforum.com. When a MDS 3.0 assessment is completed, edited, and accepted into the QIES ASAP system, you may not change it as the residents status changes during the course of the stay. J2100 recent surgery requiring active SNF care. OBRA Screening Anyone seeking admission to a nursing facility must be screened for indicators of an Intellectual/Developmental Disability or a mental illness, prior to admission. The Optional State Assessment (OSA) Item Set, OSA Manual, and OSA Change History table are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The final Minimum Data Set (MDS) 3.0 Item Sets version v1.18.11 are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The tips below will help you fill out Mds Obra Assessment Scheduling Tool 2020 quickly and easily: Our solution allows you to take the entire process of completing legal documents online. REMEMBER: A late assessment cannot replace a different Medicare-required assessment. Type text, add images, blackout confidential details, add comments, highlights and more. trailer The RUG-IV classification system includes eight major classification categories: To find resources and more information on the MDS 3.0 RAI and RUG-IV categories, refer to Chapter 6 of the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual on the MDS 3.0 RAI Manual webpage. The calendar is organized according to the Medicare payment period. 0000008099 00000 n $119.95 . Copyright 2017, the American Hospital Association, Chicago, Illinois. Web-based or mobile browser plug-ins may affect how the file is displayed. It allows assignment into a Rehabilitation Plus Extensive Services or Rehabilitation category when a resident received rehabilitation therapy and was not able to receive 5 days of therapy due to discharge from Medicare Part A. To learn more about how we use cookies, view our, National Nursing Home Quality Improvement (NNHQI) Campaign (previously Advancing Excellence), Improving Patient Safety in Long-Term Care Facilities (AHRQ/RAND Training Materials), Wonderful resource for long-term care facilities, Health Care Compliance Association (HCCA), A collaboration designed to help us improve our infection control practices. Medicare Part A covers skilled care in a Medicare-certified Skilled Nursing Facility (SNF). If you completed a scheduled assessment and an unscheduled assessment falls in that assessment window, the unscheduled assessment may supersede the scheduled assessment, and the payment may be modified until the next unscheduled or scheduled assessment. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". MDS Scheduling. On this web page you will also find the most current MDS 3.0 Item Sets and Appendix B which lists all of the State RAI and Automation Coordinators. View and download printable PDF MDS Reference Sheets. For more information, refer to the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual or contact your Medicare Administrative Contractor. 3535 0 obj<> endobj The 30-day assessment covers Days 3160 as long as the beneficiary has SNF days remaining and is in a Part A covered stay. Keywords. If the RUG-IV classification is not a Rehabilitation Plus Extensive Services or a Rehabilitation group, the Centers for Medicare & Medicaid Services (CMS) will not accept the assessment, and you may not use it for Medicare billing. Reproduced with permission. Setting the schedules is one of the most important parts of the job and one of the most difficult to master. > P K L M N O ZO \ p Pinette, Suzanne B a = $21.90 . Rapid RUG Guide, RUG-IV, 48 Group Classification, Minimum Data Set Supportive Documentation Guidelines. Bill all covered days when the late assessment would have controlled payment (had the ARD been set timely) at the default rate. Standalone Medicare-Required Discharge Assessments do not impact payment and are intended to collect the standardized data to calculate quality measures (see the Report to Quality Improvement and Evaluation System [QIES] Assessment Submission and Processing [ASAP] System Section for more information). Centers for Medicare & Medicaid Services (CMS) plans to release the final version of the MDS Item Sets in early 2023. No portion of this publication may be copied without the express written consent of the AHA. CMS is excited to announce that the transition of the Minimum Data Set (MDS) assessment submission and reporting functionality to the Internet Quality Improvement and Evaluation System (iQIES) will occur on April 17, 2023. for the positive impact being made every day. The first observation period begins on the day following the ARD set for the most recent scheduled or unscheduled assessment. jRAVEN is a free Java based software application which provides an option for facilities to collect and maintain Minimum Data Set (MDS) Assessment data for subsequent submission to the appropriate state and/or national For questions regarding completion of the OSA, please contact your State Survey Agency. This three-day intensive is designed to support the MDS Coordinator and other key members of facility leadership . Heres how you know. Company founder, lead developer, and President Gary Jorgenson . Guidance and examples in numerous chapters and appendices have been revised for clarification and to reflect current regulations and best practices. The Quarterly assessment is to be completed within 92 days of the R2b date of the Admission assessment. ) This version of the MDS 3.0 RAI Manual contains substantial revisions related to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), which requires that standardized assessment items be collected across post-acute care (PAC) settings. There is a mandated schedule for PPS assessments. The Quarterly assessment is to be completed within 92 days of the R2b date of the Admission assessment. Also very patient with answering questions. The tips below will help you fill out Mds Obra Assessment Scheduling Tool 2020 quickly and easily: Open the document in the feature-rich online editor by clicking on Get form. MDS 3.0 User's Manual v1.17.1 - October 2019 Edition. Typing Into The Statement Of Ownership 3526 Form, Identity The Hyperlink Table, at the end of this document, provides the complete URL for each hyperlink. Amendments may be made to the electronic record for any item during the encoding period, provided the amended response refers to the same observation period. In addition to the two Omnibus Budget Reconciliation Act (OBRA)-required discharge assessments (OBRA Discharge assessment-return anticipated and OBRA Discharge assessment-return not anticipated), you must complete a Medicare-Required Part A PPS Discharge Assessment when the residents Medicare Part A stay ends, but the resident remains in the facility (is not physically discharged from the facility). MDS 3.0 Leap Year ARD Finder. Please note that failure to obtain access to iQIES prior to April 17, 2023 will impact your ability to submit MDS records. Get access to thousands of forms. This page will be updated when: Older versions of the MDS 3.0 RAI Manual are available for reference on theArchived: MDS 3.0 RAI Manuals web page. The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Users Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. OBRA assessment was: If Assessment Reference Date (A2300) of the last OBRA assessment was: If Assessment Reference Date (A2300) of the last OBRA assessment was: The next MDS 3.0 Assessment Reference Date (A2300) must be dated by (within 92 days): The next MDS 3.0 Assessment Reference Date (A2300) must be dated by (within 92 days): The American Hospital Association (the AHA) has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. NOW AVAILBLE-Draft Nursing Home Comprehensive (NC) Item Set. MDS 3.0 OBRA Assessment Scheduling Form (Adobe PDF | MS Word) An optional form that providers can use to track past, pending, and upcoming OBRA-required MDS for a resident. 02. Download the free Adobe Acrobat Reader at //www.adobe.com/products/acrobat. The MDS 3.0 is part of that assessment process and . Annual Assessment Scheduling Rules Facilities must meet two timing requirements when scheduling Annual Assessments. The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User's Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. Spine ID Pocket - Large. How long does it take to do a comprehensive MDS assessment? USLegal received the following as compared to 9 other form sites. Consequently, you save hours (if not days or weeks) and eliminate unnecessary payments. If you set the ARD of the late assessment after the end of the period when the late assessment would have controlled payment (had the assessment been completed timely) or an intervening assessment occurred and the resident is still in a Part A covered stay, you must still complete the assessment. This web page includes the current version of the MDS 3.0 RAI Manual and associated documents. Below are cheatsheet materials developed by the ADL Nursing staff to assist in the MDS Assessment, Scheduling and Submission processes. An example of when a diagnosis should not be coded in Section I due to lack of a detailed evaluation and appropriate diagnostic information to support the diagnosis has also been added to this section. This schedule is driven by the need to periodically identify resource utilization to set payment accordingly. omplete the mds obra assessment scheduling for free Get started! Ensures that a website is free of malware attacks. Copyright 2017, the American Hospital Association, Chicago, Illinois. Annual Assessments must be completed within 92 days of the previous assessment and within 366 days of the last comprehensive assessment, either an annual assessment or a significant change in status assessment. 1 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1680 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 1 >> endobj 4 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1684 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 2 >> endobj 7 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1686 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 3 >> endobj 10 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 119 0 R /TT2 160 0 R /TT3 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1690 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 4 >> endobj 13 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 119 0 R /TT3 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1694 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 5 >> endobj 16 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1698 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 6 >> endobj 19 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1702 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 7 >> endobj 22 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /C2_0 118 0 R /T1_0 238 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1706 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 8 >> endobj 25 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1710 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 9 >> endobj 28 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1714 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 10 >> endobj 31 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /TT3 119 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1718 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 11 >> endobj 34 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /C2_0 118 0 R /T1_0 238 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1722 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 12 >> endobj 37 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 119 0 R /TT3 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1726 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 13 >> endobj 40 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1730 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 14 >> endobj 43 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 119 0 R /TT2 160 0 R /TT3 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1734 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 15 >> endobj 46 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 119 0 R /T1_0 238 0 R /TT3 160 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1738 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 16 >> endobj 49 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /TT3 119 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1742 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 17 >> endobj 52 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /TT3 120 0 R /C2_0 121 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1746 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 18 >> endobj 55 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /TT3 120 0 R /C2_0 121 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1750 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 19 >> endobj 58 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 119 0 R /TT2 160 0 R /TT3 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1754 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 20 >> endobj 61 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 156 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1758 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 21 >> endobj 64 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1762 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 22 >> endobj 67 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1766 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 23 >> endobj 70 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /TT3 120 0 R /C2_0 121 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1770 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 24 >> endobj 73 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 156 0 R /TT2 150 0 R /TT3 160 0 R /C2_0 118 0 R /TT4 119 0 R /TT5 120 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1672 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 25 >> endobj 76 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1774 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 26 >> endobj 79 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1778 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 27 >> endobj 82 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 156 0 R /C2_0 118 0 R /TT3 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1782 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 28 >> endobj 85 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1786 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 29 >> endobj 88 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /T1_0 238 0 R /TT2 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1790 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 30 >> endobj 91 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 150 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1794 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 31 >> endobj 94 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 122 0 R /TT2 156 0 R /TT3 150 0 R /T1_0 238 0 R /TT4 160 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1798 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 32 >> endobj 97 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 122 0 R /TT2 156 0 R /TT3 150 0 R /TT4 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1802 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 33 >> endobj 100 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 122 0 R /TT2 156 0 R /TT3 150 0 R /TT4 160 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1806 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 34 >> endobj 103 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 150 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1810 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 35 >> endobj 106 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /C2_0 118 0 R /T1_0 238 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1814 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 36 >> endobj 109 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1818 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 37 >> endobj 112 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1822 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 38 >> endobj 115 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1826 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 39 >> endobj 118 0 obj << /Type /Font /Subtype /Type0 /BaseFont /IGHCMP+SymbolMT /Encoding /Identity-H /DescendantFonts [ 133 0 R ] /ToUnicode 134 0 R >> endobj 119 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 116 /Widths [ 250 0 0 0 0 0 0 0 333 333 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 333 0 0 0 0 0 0 667 667 667 722 667 667 722 778 389 0 0 611 889 722 722 611 722 667 556 611 722 667 0 0 611 0 0 0 0 0 0 0 500 0 0 0 444 0 500 0 278 0 0 0 778 556 500 500 0 0 389 278 ] /Encoding /WinAnsiEncoding /BaseFont /IGHHID+TimesNewRoman,BoldItalic /FontDescriptor 125 0 R /ToUnicode 2448 0 R >> endobj 120 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 121 /Widths [ 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 722 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 611 556 0 556 333 0 0 278 0 0 278 889 611 611 0 0 389 0 333 0 0 0 0 556 ] /Encoding /WinAnsiEncoding /BaseFont /IGJACA+Arial,BoldItalic /FontDescriptor 127 0 R /ToUnicode 2450 0 R >> endobj 121 0 obj << /Type /Font /Subtype /Type0 /BaseFont /IGJADP+Wingdings-Regular /Encoding /Identity-H /DescendantFonts [ 135 0 R ] /ToUnicode 2452 0 R >> endobj 122 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 114 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 500 500 500 500 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 444 0 444 0 0 0 278 0 0 0 0 500 500 0 0 389 ] /Encoding /WinAnsiEncoding /BaseFont /IGJAMN+TimesNewRoman,Italic /FontDescriptor 131 0 R /ToUnicode 2454 0 R >> endobj 123 0 obj << /Type /FontDescriptor /Ascent 1005 /CapHeight 0 /Descent -219 /Flags 4 /FontBBox [ 0 -220 1113 1005 ] /FontName /IGHCMP+SymbolMT /ItalicAngle 0 /StemV 0 /FontFile2 124 0 R >> endobj 124 0 obj << /Filter /FlateDecode /Length 6571 /Length1 10232 >> stream

Kosher Shabbos Getaway 2021, List Of Semi Deciduous Trees, Articles M

UpxW. For more information on the requirements for a short stay, refer to Chapter 6 of the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual. CMS and its products and services are not endorsed by the AHA or any of its affiliates. You may also contact us at ub04@healthforum.com. When a MDS 3.0 assessment is completed, edited, and accepted into the QIES ASAP system, you may not change it as the residents status changes during the course of the stay. J2100 recent surgery requiring active SNF care. OBRA Screening Anyone seeking admission to a nursing facility must be screened for indicators of an Intellectual/Developmental Disability or a mental illness, prior to admission. The Optional State Assessment (OSA) Item Set, OSA Manual, and OSA Change History table are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The final Minimum Data Set (MDS) 3.0 Item Sets version v1.18.11 are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The tips below will help you fill out Mds Obra Assessment Scheduling Tool 2020 quickly and easily: Our solution allows you to take the entire process of completing legal documents online. REMEMBER: A late assessment cannot replace a different Medicare-required assessment. Type text, add images, blackout confidential details, add comments, highlights and more. trailer The RUG-IV classification system includes eight major classification categories: To find resources and more information on the MDS 3.0 RAI and RUG-IV categories, refer to Chapter 6 of the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual on the MDS 3.0 RAI Manual webpage. The calendar is organized according to the Medicare payment period. 0000008099 00000 n $119.95 . Copyright 2017, the American Hospital Association, Chicago, Illinois. Web-based or mobile browser plug-ins may affect how the file is displayed. It allows assignment into a Rehabilitation Plus Extensive Services or Rehabilitation category when a resident received rehabilitation therapy and was not able to receive 5 days of therapy due to discharge from Medicare Part A. To learn more about how we use cookies, view our, National Nursing Home Quality Improvement (NNHQI) Campaign (previously Advancing Excellence), Improving Patient Safety in Long-Term Care Facilities (AHRQ/RAND Training Materials), Wonderful resource for long-term care facilities, Health Care Compliance Association (HCCA), A collaboration designed to help us improve our infection control practices. Medicare Part A covers skilled care in a Medicare-certified Skilled Nursing Facility (SNF). If you completed a scheduled assessment and an unscheduled assessment falls in that assessment window, the unscheduled assessment may supersede the scheduled assessment, and the payment may be modified until the next unscheduled or scheduled assessment. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". MDS Scheduling. On this web page you will also find the most current MDS 3.0 Item Sets and Appendix B which lists all of the State RAI and Automation Coordinators. View and download printable PDF MDS Reference Sheets. For more information, refer to the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual or contact your Medicare Administrative Contractor. 3535 0 obj<> endobj The 30-day assessment covers Days 3160 as long as the beneficiary has SNF days remaining and is in a Part A covered stay. Keywords. If the RUG-IV classification is not a Rehabilitation Plus Extensive Services or a Rehabilitation group, the Centers for Medicare & Medicaid Services (CMS) will not accept the assessment, and you may not use it for Medicare billing. Reproduced with permission. Setting the schedules is one of the most important parts of the job and one of the most difficult to master. > P K L M N O ZO \ p Pinette, Suzanne B a = $21.90 . Rapid RUG Guide, RUG-IV, 48 Group Classification, Minimum Data Set Supportive Documentation Guidelines. Bill all covered days when the late assessment would have controlled payment (had the ARD been set timely) at the default rate. Standalone Medicare-Required Discharge Assessments do not impact payment and are intended to collect the standardized data to calculate quality measures (see the Report to Quality Improvement and Evaluation System [QIES] Assessment Submission and Processing [ASAP] System Section for more information). Centers for Medicare & Medicaid Services (CMS) plans to release the final version of the MDS Item Sets in early 2023. No portion of this publication may be copied without the express written consent of the AHA. CMS is excited to announce that the transition of the Minimum Data Set (MDS) assessment submission and reporting functionality to the Internet Quality Improvement and Evaluation System (iQIES) will occur on April 17, 2023. for the positive impact being made every day. The first observation period begins on the day following the ARD set for the most recent scheduled or unscheduled assessment. jRAVEN is a free Java based software application which provides an option for facilities to collect and maintain Minimum Data Set (MDS) Assessment data for subsequent submission to the appropriate state and/or national For questions regarding completion of the OSA, please contact your State Survey Agency. This three-day intensive is designed to support the MDS Coordinator and other key members of facility leadership . Heres how you know. Company founder, lead developer, and President Gary Jorgenson . Guidance and examples in numerous chapters and appendices have been revised for clarification and to reflect current regulations and best practices. The Quarterly assessment is to be completed within 92 days of the R2b date of the Admission assessment. ) This version of the MDS 3.0 RAI Manual contains substantial revisions related to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), which requires that standardized assessment items be collected across post-acute care (PAC) settings. There is a mandated schedule for PPS assessments. The Quarterly assessment is to be completed within 92 days of the R2b date of the Admission assessment. Also very patient with answering questions. The tips below will help you fill out Mds Obra Assessment Scheduling Tool 2020 quickly and easily: Open the document in the feature-rich online editor by clicking on Get form. MDS 3.0 User's Manual v1.17.1 - October 2019 Edition. Typing Into The Statement Of Ownership 3526 Form, Identity The Hyperlink Table, at the end of this document, provides the complete URL for each hyperlink. Amendments may be made to the electronic record for any item during the encoding period, provided the amended response refers to the same observation period. In addition to the two Omnibus Budget Reconciliation Act (OBRA)-required discharge assessments (OBRA Discharge assessment-return anticipated and OBRA Discharge assessment-return not anticipated), you must complete a Medicare-Required Part A PPS Discharge Assessment when the residents Medicare Part A stay ends, but the resident remains in the facility (is not physically discharged from the facility). MDS 3.0 Leap Year ARD Finder. Please note that failure to obtain access to iQIES prior to April 17, 2023 will impact your ability to submit MDS records. Get access to thousands of forms. This page will be updated when: Older versions of the MDS 3.0 RAI Manual are available for reference on theArchived: MDS 3.0 RAI Manuals web page. The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Users Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. OBRA assessment was: If Assessment Reference Date (A2300) of the last OBRA assessment was: If Assessment Reference Date (A2300) of the last OBRA assessment was: The next MDS 3.0 Assessment Reference Date (A2300) must be dated by (within 92 days): The next MDS 3.0 Assessment Reference Date (A2300) must be dated by (within 92 days): The American Hospital Association (the AHA) has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. NOW AVAILBLE-Draft Nursing Home Comprehensive (NC) Item Set. MDS 3.0 OBRA Assessment Scheduling Form (Adobe PDF | MS Word) An optional form that providers can use to track past, pending, and upcoming OBRA-required MDS for a resident. 02. Download the free Adobe Acrobat Reader at //www.adobe.com/products/acrobat. The MDS 3.0 is part of that assessment process and . Annual Assessment Scheduling Rules Facilities must meet two timing requirements when scheduling Annual Assessments. The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User's Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. Spine ID Pocket - Large. How long does it take to do a comprehensive MDS assessment? USLegal received the following as compared to 9 other form sites. Consequently, you save hours (if not days or weeks) and eliminate unnecessary payments. If you set the ARD of the late assessment after the end of the period when the late assessment would have controlled payment (had the assessment been completed timely) or an intervening assessment occurred and the resident is still in a Part A covered stay, you must still complete the assessment. This web page includes the current version of the MDS 3.0 RAI Manual and associated documents. Below are cheatsheet materials developed by the ADL Nursing staff to assist in the MDS Assessment, Scheduling and Submission processes. An example of when a diagnosis should not be coded in Section I due to lack of a detailed evaluation and appropriate diagnostic information to support the diagnosis has also been added to this section. This schedule is driven by the need to periodically identify resource utilization to set payment accordingly. omplete the mds obra assessment scheduling for free Get started! Ensures that a website is free of malware attacks. Copyright 2017, the American Hospital Association, Chicago, Illinois. Annual Assessments must be completed within 92 days of the previous assessment and within 366 days of the last comprehensive assessment, either an annual assessment or a significant change in status assessment. 1 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1680 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 1 >> endobj 4 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1684 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 2 >> endobj 7 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1686 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 3 >> endobj 10 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 119 0 R /TT2 160 0 R /TT3 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1690 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 4 >> endobj 13 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 119 0 R /TT3 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1694 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 5 >> endobj 16 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1698 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 6 >> endobj 19 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1702 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 7 >> endobj 22 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /C2_0 118 0 R /T1_0 238 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1706 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 8 >> endobj 25 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1710 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 9 >> endobj 28 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1714 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 10 >> endobj 31 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /TT3 119 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1718 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 11 >> endobj 34 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /C2_0 118 0 R /T1_0 238 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1722 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 12 >> endobj 37 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 119 0 R /TT3 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1726 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 13 >> endobj 40 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1730 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 14 >> endobj 43 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 119 0 R /TT2 160 0 R /TT3 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1734 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 15 >> endobj 46 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 119 0 R /T1_0 238 0 R /TT3 160 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1738 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 16 >> endobj 49 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /TT3 119 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1742 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 17 >> endobj 52 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /TT3 120 0 R /C2_0 121 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1746 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 18 >> endobj 55 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /TT3 120 0 R /C2_0 121 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1750 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 19 >> endobj 58 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 119 0 R /TT2 160 0 R /TT3 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1754 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 20 >> endobj 61 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 156 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1758 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 21 >> endobj 64 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1762 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 22 >> endobj 67 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1766 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 23 >> endobj 70 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /TT3 120 0 R /C2_0 121 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1770 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 24 >> endobj 73 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 156 0 R /TT2 150 0 R /TT3 160 0 R /C2_0 118 0 R /TT4 119 0 R /TT5 120 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1672 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 25 >> endobj 76 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1774 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 26 >> endobj 79 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1778 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 27 >> endobj 82 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 156 0 R /C2_0 118 0 R /TT3 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1782 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 28 >> endobj 85 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1786 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 29 >> endobj 88 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /T1_0 238 0 R /TT2 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1790 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 30 >> endobj 91 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 150 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1794 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 31 >> endobj 94 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 122 0 R /TT2 156 0 R /TT3 150 0 R /T1_0 238 0 R /TT4 160 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1798 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 32 >> endobj 97 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 122 0 R /TT2 156 0 R /TT3 150 0 R /TT4 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1802 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 33 >> endobj 100 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 122 0 R /TT2 156 0 R /TT3 150 0 R /TT4 160 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1806 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 34 >> endobj 103 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 150 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1810 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 35 >> endobj 106 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /C2_0 118 0 R /T1_0 238 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1814 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 36 >> endobj 109 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1818 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 37 >> endobj 112 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1822 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 38 >> endobj 115 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1826 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 39 >> endobj 118 0 obj << /Type /Font /Subtype /Type0 /BaseFont /IGHCMP+SymbolMT /Encoding /Identity-H /DescendantFonts [ 133 0 R ] /ToUnicode 134 0 R >> endobj 119 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 116 /Widths [ 250 0 0 0 0 0 0 0 333 333 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 333 0 0 0 0 0 0 667 667 667 722 667 667 722 778 389 0 0 611 889 722 722 611 722 667 556 611 722 667 0 0 611 0 0 0 0 0 0 0 500 0 0 0 444 0 500 0 278 0 0 0 778 556 500 500 0 0 389 278 ] /Encoding /WinAnsiEncoding /BaseFont /IGHHID+TimesNewRoman,BoldItalic /FontDescriptor 125 0 R /ToUnicode 2448 0 R >> endobj 120 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 121 /Widths [ 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 722 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 611 556 0 556 333 0 0 278 0 0 278 889 611 611 0 0 389 0 333 0 0 0 0 556 ] /Encoding /WinAnsiEncoding /BaseFont /IGJACA+Arial,BoldItalic /FontDescriptor 127 0 R /ToUnicode 2450 0 R >> endobj 121 0 obj << /Type /Font /Subtype /Type0 /BaseFont /IGJADP+Wingdings-Regular /Encoding /Identity-H /DescendantFonts [ 135 0 R ] /ToUnicode 2452 0 R >> endobj 122 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 114 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 500 500 500 500 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 444 0 444 0 0 0 278 0 0 0 0 500 500 0 0 389 ] /Encoding /WinAnsiEncoding /BaseFont /IGJAMN+TimesNewRoman,Italic /FontDescriptor 131 0 R /ToUnicode 2454 0 R >> endobj 123 0 obj << /Type /FontDescriptor /Ascent 1005 /CapHeight 0 /Descent -219 /Flags 4 /FontBBox [ 0 -220 1113 1005 ] /FontName /IGHCMP+SymbolMT /ItalicAngle 0 /StemV 0 /FontFile2 124 0 R >> endobj 124 0 obj << /Filter /FlateDecode /Length 6571 /Length1 10232 >> stream %20Kosher Shabbos Getaway 2021, List Of Semi Deciduous Trees, Articles M
" data-email-subject="I wanted you to see this link" data-email-body="I wanted you to see this link https%3A%2F%2Fgalaboot.de%2F2023%2F05%2Ff03h5d8e" data-specs="menubar=no,toolbar=no,resizable=yes,scrollbars=yes,height=600,width=600">

This Post Has 0 Comments

mds obra assessment scheduling tool 2022special pleading fallacy examples in media

mds obra assessment scheduling tool 2022