June 2002

Information Bulletin 02-9

Swing Bed Hospital - MDS Effective July 1, 2002

The purpose of this Minnesota Department of Health (MDH) Information Bulletin is to notify Medicare-certified Swing Bed Hospitals that, starting July 1, 2002, Medicare beneficiaries receiving Skilled Nursing Facility (SNF) level care in swing bed hospitals will be phased into the SNF Prospective Payment System (PPS) and Swing Bed Units will have to perform Minimum Data Set (MDS) Assessments on all Swing Bed patients. The new form is named Minimum Data Set (MDS) For Swing Bed Hospitals (SB-MDS).

Until now, swing bed providers have not performed MDS assessments. Effective July 1, 2002, swing bed providers will have to complete and transmit to the Centers for Medicare and Medicaid (CMS) SB-MDS assessments on all patients who meet Medicare Part A Services eligibility requirements for a certified-hospital swing bed. The new Assessment Form to be utilized for this MDS assessment, Minimum Data Set (MDS) for Swing Bed Hospitals, is a subset of the actual MDS Assessment form utilized in nursing homes. It is two (2) pages long and contains approximately 45 items to be assessed. A Registered Nurse (RN) must complete and/or coordinate all MDS assessments.

The MDS Swing Bed Assessment Form is found at:
http://cms.hhs.gov/providers/snfpps/snfpps_swmds.asp [expired link]

Transition into the SNF PPS will be by hospital cost reporting year, and the first group of swing bed hospitals will transition into the SNF PPS for services furnished on and after July 1, 2002. (Please note this information was published on page 38128 of the Federal Register Vol. 67, No. 105/Friday May 31, 2002/Notices.)

Medicare Part A Services Swing Bed Eligibility Requirements are:

  • Medically necessary 3-day hospital stay.
  • Receipt of Part A care within 30 days of qualifying hospital stay.
  • Part A care needed for a condition which was treated during the qualifying hospital stay.
  • Receives a skilled level of care either skilled nursing or rehabilitation.

Resources For Learning How To Complete And Transmit The Swing Bed-MDS Form

The Minnesota Department of Health (MDH) is providing training on the completion and transmission of the SB-MDS by making available to Swing Bed Hospitals three videotapes and responding to questions via the MDH MDS Clinical Help Phone line. The training videos were produced by CMS which cover completion of the assessment form and the transmission of data to the CMS database. Included with this Information Bulletin are instructions for ordering these training videos:

  1. MDS Coding Video: A detailed item-by-item review of the two-page MDS form for Swing Hospitals (SB-MDS). Carol Job, R.N, of Myers and Stauffer, on two videotapes (Part I and Part II), will walk you through the SB-MDS and discuss the requirements for completing and submitting assessments and/or discharge/reentry tracking forms. Viewing both Part I and Part II will take 2.5 hours.

    At the preparation of this MDH Information Bulletin, a Draft of the Swing Bed Minimum Data Set Assessment Training Manual is available from MDH for $12.00. It is recommended that this document be used when viewing the CMS MDS coding video. When the training manual becomes available on the CMS website, MDH will make a change directly to the MDH website with the CMS website address and MDH will no longer sell this draft manual.

  2. Swing Bed Transmission Video and RAVEN SB-MDS Video: Jack Williams of CMS will explain the transmission requirements and procedures that will be used by Swing Bed providers. John Jackson of FU Associates will review the new data entry software, emphasizing the areas where the RAVEN software has been modified for Swing Bed use. This videotape will take 1.5 hours to view.
  3. RAVEN-SB software can be downloaded free of cost from the following website:
    QIES Technical Support Office

How do I access the Minnesota Department of Health MDS Clinical Help Line?

MDS Clinical Help Line
(651) 201-4313


For Assistance With Swing Bed PPS Issues

Noridian Government Services
(866) 380-4741
Noridian Medicare Contracts
http://cms.hhs.gov/medlearn/sbpps.asp [expired link]


CMS websites for swing bed prospective payment, SB-assessment, data collection and submission information include:

  1. http://cms.hhs.gov/providers/snfpps/snfpps_swingbed.asp [expired link]
    contains technical documents, program and policy information.

  2. QIES Technical Support Office
    contains links to technical documents and clarifications of data transmission and RAVEN-SB software requirements as well as clarifications of data transmission and RAVEN-SB software requirements.

How Can I Access Information Regarding the Conversion of Hospital Swing Bed Facilities to the Skilled Nursing Facility Prospective Payment System (SNF PPS) Effective for Cost Reporting Periods Starting July 1, 2002?

    Transmittal A-02-016, dated February 15, 2002, may be found at the following web site: http://www.cms.hhs.gov/manuals/pm_trans/A02016.pdf [expired link]

Who Do I Contact For Technical Questions?

All technical questions for MDS Swing Bed:

    QIES Technical Support Office (QTSO)
    Email address: swing_help@ifmc.org
    Telephone: (800) 339-9313

Who Do I Contact for Dialer Software Questions?

AT&T Global dialer software installation and AT&T password questions should be directed to MDCN Help Desk at (800) 905-2069.

Note: CMS web site addresses are subject to change. As MDH becomes aware of these changes we will update the CMS address on this bulletin at our MDH web site listed below.

If you have any questions regarding this Information Bulletin, please contact in writing:

Minnesota Department of Health
Health Regulation Division
Licensing and Certification Program
85 East Seventh Place, Suite 300
PO Box 64900
St. Paul, Minnesota 55164-0900
Telephone: (651) 201-4101



Swing Bed Hospital Minimum Data Training Order Form

1. MDS Coding Video for Swing Bed Hospitals
•  A detailed item-by-item review of the 2-page MDS for Swing Bed Hospitals (SB-MDS)
•  Carol Job, RN, (Myers & Stauffer), will walk through the SB-MDS and discuss the requirements for submitting assessments and discharge/reentry tracking forms.
   There is a set of 2 videotapes (Part I and Part II) and the cost is $24.00.
   Number of Videotape Sets Requested:
2. Swing Bed Transmission and RAVEN Swing Bed Software Video
•  Jack Williams (CMS) will explain the transmission requirements and procedures that will be used by swing bed providers.
•  John Jackson (FU Associates) will review the new data entry software, emphasizing the areas where the RAVEN software has been modified for swing bed use.
   There is 1 videotape and the cost is $12.00.
   Number of Videotapes Requested:
3. A Draft of the Swing Bed Minimum Data Set Assessment Training Manual
   The cost of the manual is $12.00.
   Number of Manuals Requested:
   Total cost of this order: $
Please make check payable to: Minnesota Department of Health
Please mail this order form to: Minnesota Department of Health
  Health Regulation Division
  Attention: L&C Provider Development
  P.O. Box 64900
  St. Paul, MN 55164-0900

Please provide the following:


     Facility Name:



     Zip Code: