Components
What are the 5 components that make up the HIPPS code?
What is PT/OT/ST/Nursing and Non-therapy ancillary
When are GG's completed?
What is during first 3 days of admission and at discharge and if there is a sig change.
DO 88's affect the OT/PT GG's?
What is yes
What section of the MDS plays a role in the ST componet?
What is Section K
How much of a patient's time can be comprised of group and concurrent tx?
What is 25%
What other factor is included in the total daily rate?
What is Flat rate
What type of performance is used to code the GG's?
What is the usual performance in the first 3 days
What Self-care items determine the therapy function score?
What is Eating, oral hygiene and toileting hygiene
What items play a role in determining the ST portion of the HIPPS code?
What is cognition, other speech related comorbidities, swallowing disorder and mechanically altered diet
Are the PT/OT reimbursement rates under PDPM the same.
What is no
Who is involved in selecting the most appropriate ICD 10 code for the patient?
What is the entire IDT team/
What is the numerical coding of the GG's?
What is
6= independent
5= set-up
4=supervision
3=partial mod
2= max
0= dependent
What mobility items determine the therapy function score?
What is
Bed mobility
Transfers
Walking
Does the ST reimbursement rate stay the same throughout the entire stay?
What is yes, it remains the same throughout the stay
How many individuals can make up a group for therapy?
What is 2-6
Who is allowed to contribute to the usual performance for the MDS HIPPS score?
What is all staff
What is the impacted if a patient does not meet their discharge function score?
What is the QM's
What does a high function score indicate?
That the pt is more independent
What cognitive test is a part of the ST component?
What is the BIMS
What does NTA stand for?
What is Non- therapy ancillary
Criteria for a skilled stay?
What is
Qualifying stay
Benefit days
Access to days
When would a patient require additional GG's beyond the admission and discharge scores?
What is a sig change IPA
Does the OT/PT reimbursement rate stay the same throughout the entire stay?
What is
No, days 1-20 it is paid in full
Decreases by 2% every 7 days
Every dementia dx automatically qualifies as a SLP comorbidity.
What is false
What determines if a patient has an interrupted stay vs being discharged?
What is number of midnights out of the facility