1. Types of Reviews
Retrospective Medical Record Review which compares the medical record to the MDS assessment
Two-Staged Verification which is a re-assessment of a resident, which includes a reconciliation process with the facility staff

2. Review Types
Offsite
Onsite
Retrospective X
Two-Staged

3. Clinical Team Qualifications
Registered professional nurses
Extensive long-term care experience
Highly skilled and proficient in all aspects of the MDS
Technical expert panel members
Physical therapist
Occupational therapist
Speech therapist
Registered professional nurse

4. Training MDS coding knowledge Claims review Medicare regulation
Coverage guidelines
Long-term care knowledge
Retrospective medical record review (RMRR)
Two-staged verification protocol
Health and safety concerns

5. Facility Information Packet
Introductory letter from CMS
Letter outlining the onsite review process
An onsite agenda for the 3 days
Information Request Checklist
A DAVE Information Sheet

6. Benefits of Offsite
Review Medicare claims data and detect discrepancies between billing data and assessment data
Identifies discrepancies between the assessment and the supporting medical record documentation
Provides specific information Fiscal Intermediaries can use to ensure accurate payment of claims
Enables a much higher volume of assessment reviews than the onsite reviews in the same time period