US · guidance
CMS SOM App. H, Tag V631
§ 494.110 (a)(2) – The program must include, but not be limited to, the following: (iii)
Mineral metabolism and renal bone disease.
Interpretive Guidance § 494.110(a)(2)(iii):
The intent of QAPI in addressing the management of CKD mineral and bone disorder is to
maximize the number of patients who achieve the goals for this area. Refer to the Measures
Assessment Tool (MAT), which lists the current professionally-accepted clinical practice
standards in this and other areas.
Since this area is heavily influenced by patient diet, it is critical that patient education,
encouragement, and support be included in improvement plans for this indicator. The IDT
should evaluate the efficacy of any standardized CKD mineral and bone disorder guideline or
algorithm in use if facility QAPI goals in this area are not achieved over consecutive evaluation
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periods and other factors (e.g., transfers, new admissions, hospitalizations, discharges, recent
access surgeries, or acutely ill patients) are not responsible.
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
c6ab4b658d0ece75c4189d6f0f818c7e348ff0ae4014e8eac17e9b76f0004dc4
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