Navigating the Shift: Reporting Falls with Major Injury to Mitigate Risk and Expand Quality Care

On September 18, 2025, the Office of the Inspector General (OIG) CMS published findings on Falls with Major Injury (FMI). The OIG report states 43% of FMI are not reported in accordance with CMS guidelines. RAI/MDS 3.0 manual Section J became effective October 2, 2025, and provides guidance on defining, coding, and reporting FMI.

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