Prospective Payment System:
Learn PPS Ropes To Get The Supply Points You Deserve
Published on Fri Feb 11, 2011
Make sure you're getting your rightful NRS reimbursement. Nonroutine medical supplies can earn valuable case mix points, which means more reimbursement for your agency. But how these points are calculated isn't always straightforward. Get the background on the seven NRS diagnosis categories to make sure you are securing the payment your agency is due. Know These NRS Reimbursement Building Blocks Your agency is eligible for nonroutine supply (NRS) reimbursement based on OASIS responses, even if you don't actually provide the supplies specific to the diagnosis, says coding expert Trish Twombly with Foundation Management Services in Denton, Texas. How it works: NRS points are calculated based on OASIS responses and coding, not on the type of or quantity of supplies provided, says Lisa Selman-Holman with Selman-Holman & Associates and CoDR -- Coding Done Right in Denton, Texas. If supplies are not provided, the HIPPS code you report ends in a number. If [...]