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Final Validation Reports: Best Practices for NACs

By Caralyn Davis, Staff Writer - November 25, 2019

A surprising number of nurse assessment coordinators (NACs) still don’t monitor the Final Validation Reports that the QIES ASAP MDS submission system automatically generates when each batch of MDS records is submitted, says Carol Maher, RN-BC, RAC-MTA, RAC-MT, CPC, director of education for Hansen, Hunter & Co. PC in Vancouver, WA.


“When I go into facilities to work on a problem and ask MDS coordinators if they received any error messages or warnings on the Final Validation Reports for the MDSs in question, they often don’t know what I’m talking about,” notes Maher. “Some NACs have never even seen the Final Validation Reports because another staff member does the MDS transmissions on their computer.”


These NACs are missing out on a critical step in the MDS submissions process, stresses Maher. “Reviewing every Final Validation Report allows the NAC to make sure that all of the MDSs were accepted into the federal database and to follow up on any fatal error or warning messages. While some software systems can show whether an MDS was accepted or rejected, they often don’t show warning messages—and each warning message is very important, giving you the information needed to determine if something should be modified or changed in that MDS.”