Run PDPM Component Capture Audit — Free

Audit Scope and Record Identification

Resident record identifiers match the MDS being audited critical (required)

Confirm the resident name/identifier, assessment reference date, and assessment type match the record under review.

Assessment is identified as a pre-submission PDPM component capture audit critical (required)

Confirm this review is being completed before transmission.

Yes No N/A

Required source documents are available for review critical (required)

Select the source documents used to validate MDS items.

Note (optional)

PDPM-Driving Item Completeness

Therapy-related MDS items are complete and not left blank critical (required)

Check that all therapy-driving fields required for the assessment are populated.

Yes No N/A

Functional status items are fully captured and internally consistent critical (required)

Confirm functional items reflect the same level of assistance across related sections.

Yes No N/A

Clinical category indicators are supported by documentation critical (required)

Verify diagnosis and clinical indicators used for classification are documented.

Yes No N/A

Assessment items affecting reimbursement are not contradictory critical (required)

Check for conflicts between coded items and supporting notes.

Yes No N/A

Therapy and Functional Status Validation

Therapy minutes and modalities are supported by treatment records critical (required)

Confirm therapy documentation supports the coded treatment intensity and type.

Yes No N/A

Functional performance level is coded using the most recent and relevant documentation critical (required)

Verify the functional coding reflects the appropriate assessment window.

Yes No N/A

Section GG or equivalent functional items are complete critical (required)

Check that all required functional items are answered.

Yes No N/A

Therapy and nursing documentation align on assistance level and mobility status

Confirm interdisciplinary notes do not conflict on the resident's current status.

Yes No N/A

Transmission Readiness and Correction Control

All identified deficiencies have a documented corrective action critical (required)

Confirm each issue has an assigned fix and owner.

Yes No N/A

No unresolved non-conformances remain in the audit packet critical (required)

Verify there are no open issues that would affect submission accuracy.

Yes No N/A

Audit result is ready for transmission or hold critical (required)

Select the final disposition of the assessment packet.

Note (optional)

Final Review and Sign-Off

Inspector name and role critical (required)

Enter the name and role of the person completing the audit.

Audit completion date and time critical (required)

Record when the audit was completed.

Inspector attestation critical (required)

Sign to confirm the audit was completed and findings are accurate.

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Run: PDPM Component Capture Audit

Audit Scope and Record Identification

PDPM-Driving Item Completeness

Therapy and Functional Status Validation

Transmission Readiness and Correction Control

Final Review and Sign-Off

Get your results