Section N. Medications, Indications for Use, GDR, and Drug Regimen Review

July 28, 2023


This presentation will focus on Section N of the MDS which includes many items that impact MDS 3.0 Quality Measures, SNF QRP Measures, Requirements of Participation, and survey. This webinar will discuss the complexity of coding medications according to their pharmacological classification, not how they are ordered/used. Beginning 10/1/2023, the MDS will require the coding of indications for use of each medication type. This new information will impact SNF QRP Measures and will be of interest to surveyors. Gradual dose reduction regulations and coding instructions will be reviewed. Drug Regimen Review coding informs a SNF QRP Measure. On audit, these items are frequently miscoded and facility documentation often does not support that this important process has occurred as coded. The coding instructions and SNF QRP measure qualifications will be covered during this webinar.

Learning Objectives:
1. State the 2 new medication types that must be reported on the MDS beginning 10/1/2023.
2. Report the regulations related Gradual Dose Reduction required during the first year the resident has started on an antipsychotic medication.
3. Describe when, during a Medicare A stay, the Drug Regimen Review process must be completed.



Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.

Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).

Credit Hours

  • 1.5 hours for Licensed Nurses
  • 1.5 NAB hours for Nursing Home Adminstrators

This pre-recorded webinar expires on October 13, 2024.


Hansen Hunter clients are invited to access any of our webinars for free by contacting Allison Johnson at our office at 503.244.2134 to receive your free registration code.


  • This nursing continuing professional development activity was approved by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.
  • Enduring material: To meet the requirements for these contact hours, you must watch the entire recorded presentation as well as answer and submit the post-test evaluation that is provided as a link along with the link to your webinar which you will receive via email after completing your purchase.