SPADE, Transfer of Health items set to debut. Check out the list of items slated to be added or dropped in the forthcoming OASIS-E version. IMPACT Act Standardized Assessment Patient Data Elements (SPADE) items added: Cognitive Function C0100 Should Brief [...]
Watch out: The fourth digit is changing completely. When the new HIPPS codes under the Patient-Driven Groupings Model talk, you should listen. Under the drastic payment reform model taking effect Jan. 1, some of the digits in the HIPPS code [...]
But 2 items’ collection and reporting will increase under OASIS-D1. The Patient-Driven Groupings Model won’t use 19 currently collected OASIS items at followup, so you won’t have to collect or report their data at that time point. The items that [...]
Get to know the new code. Whether you know the current HH PPS HIPPS codes inside and out, or have only a vague idea what the code digits indicate, it’s vital to understand HIPPS code changes under PDGM. Why? The [...]
Tip: Be specific about intervention and frequency. Skin integrity is one of the major quality measures that will affect your reimbursement. (See cover story.) Preventive measures for pressure ulcers like turning/repositioning program can be only as successful as its individualization [...]
Heed the RAI Manual’s instructions when coding M1200C. You can employ a myriad of treatments and preventive measures when it comes to dreaded pressure ulcers, one of which is a turning/repositioning program. But is your turning/repositioning program up to snuff? [...]
Two OASIS items also lose their scoring impact. Your case mix diagnoses list has been getting shorter each year. The Centers for Medicare & Medicaid Services removed 170 codes in 2014, and the 2015 home health prospective payment system strips [...]
Recent Palmetto GBA medical reviews target HIPPS codes 5BHK* and 5AGK*. The first character in these HIPPS codes indicates that these patients received 20 or more therapy visits. The second character in the HIPPS codes indicates the patient’s clinical severity [...]
Proposed rule slashes 200 diagnosis codes from the case mix list. CMS proposes making major changes to the case mix system for 2015. Can your agency withstand the effect on reimbursement? In its 2015 home health prospective payment system proposed [...]
Diagnosis code sequence matters when it comes to accurate reimbursement. Does your documentation support your OASIS M-item responses? If not, you could be setting yourself up for reimbursement delays and denials. Palmetto GBA’s medical review of high-therapy claims continues the [...]
