CMAC Recertification Review Course

CMAC Recertification Review Course 

Annually the Centers for Medicare and Medicaid Services (CMS) revises the Minimum Data Set (MDS) 3.0. These changes customarily go into effect on October 1 and often have an impact on the coding of the MDS, reimbursement, or calculation of quality measures. In this module we will discuss the changes implemented in October 2019, including the addition of new items related to the implementation of PDPM. This course, along with a review of the PDPM course, is designed to prepare CMAC holders for the CMAC recertification exam.


Hours: 1.50


Certificates provided by accrediting body (1 Match)

American Nurses Credentialing Center


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.50 contact hours for participating in this course.

Course Details

Hours: 1.5
Type: Online Course
Content Expiration Date: 12/31/2021
Learning Objectives:
Identify new MDS 3.0 items added October 1, 2019.
Explain MDS assessment changes implemented as part of PDPM.
Explain the interrupted stay policy.
Apply correct coding of new items added on October 1, 2019.


PDPM Detail

MDS RAI Manual Changes 2019 Summary

Optional State Assessment (OSA)

MDS 3.0 Section A – Items Deleted

MDS 3.0 Section A

SNF PPS 5-day Assessment Requirements

Interim Payment Assessment (IPA)

Interrupted Stay Policy

Interrupted Stay Examples

No Interrupted Stay – Example

Discharge Assessment Requirement

Interrupted Stay Policy Assessment Impact

MDS 3.0 Section C

MDS 3.0 Section D

MDS 3.0 Section GG – GG0100 and GG0110

MDS 3.0 Section GG

MDS 3.0 Section GG – Decision Tree

MDS 3.0 Section GG – Clarifications

MDS 30 Section I – I0020B ICD-10-CM Code

Return to Provider Codes

MDS 3.0 Section I0020 – Example 1

MDS 3.0 Section I0020 – Example 2

MDS 3.0 Section J – J2000 Prior Surgery

MDS 3.0 Section J – J2100 Recent Surgery

Major Surgery Definition

Surgical Procedure Categories

Surgical Procedure Coding Guidance

Surgical Procedure – Example 1

Surgical Procedure – Example 2

Surgical Procedure – Example 3

Surgical Procedure – Example 4

Surgical Procedure – Impact on Case Mix Group

MDS 3.0 Section K

MDS 3.0 Section O – Respite Care

MDS 3.0 Section O – O0400 Therapies

MDS 3.0 Section O – O0420 Distinct Days

MDS 3.0 Section O – O0425/O0430 Therapies

Discharge Therapy Minutes Example

MDS 3.0 Section G – O0450 Resumption of Therapy

Other SNF Policy Changes

MDS 3.0 Section Z – Short Stay Question

Change to Correction Policy


Course Contributor

Instructor: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer
Ronald Orth, RN, CMAC, CHC  obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Post-acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA and is an AHIMA approved ICD-10-CM trainer. Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Post-Acute Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.