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