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SNF QRP’s Drug Regimen Review Items: Coding Tips

By Caralyn Davis, Staff Writer - December 03, 2018

Effective Oct. 1, 2018, skilled nursing facilities must capture three new drug regimen review items in section N (Medications) of the MDS for traditional fee-for-service Medicare Part A residents:


·         On every 5-day PPS MDS (A0310B = 01):

o   N2001 (Drug Regimen Review), which asks, “Did a complete drug regimen review identify potential clinically significant medication issues?,” and

o   N2003 (Medication Follow-up), which is completed if N2001 = 1 (yes) and asks, “Did the facility contact a physician (or physician-designee) by midnight of the next calendar day and complete prescribed/recommended actions in response to the identified potential clinically significant medication issues?”; and

·         On every Part A PPS Discharge assessment (A0310H = 1):

o   N2005 (Medication Intervention), which asks, “Did the facility contact and complete physician (or physician-designee) prescribed/recommended actions by midnight of the next calendar day each time potential clinically significant medication issues were identified since the admission?”


These three items play two key roles in the Skilled Nursing Facility Quality Reporting Program (SNF QRP):