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SNF PPS: Patient Driven Payment Model

SNF PPS: Patient Driven Payment Model2 AIDS: Acquired Immune Deficiency Syndrome ARD: Assessment Reference Date BIMS: Brief Interview for Mental Status CMI: Case-mix Index CMS: Centers for Medicare and Medicaid Services COT: Change of Therapy CFS: Cognitive Function Scale CPS: Cognitive Performance Scale HIPPS: Health Insurance Prospective Payment System HIV: Human Immunodeficiency Virus ICD-10-CM: International classification of Diseases, Tenth Revision, Clinical Modification IPA: Interim Payment Assessment MDS : minimum data Set, Version 3 NF: Nursing Facility NTA: Non-Therapy AncillaryAcronyms in this Presentation3 OBRA: Omnibus Budget Reconciliation Act of 1987 OMRA: Other Medicare-Required Assessment OSA: Optional State Assessment OT: Occupational Therapy PDPM: Patient Driven Payment Model PPS: Prospective Payment System PT: Physical Therapy RUG-IV: Resource Utilization Gro

• International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes, coded on the Minimum Data Set (MDS) in Item I0020B, are mapped to a PDPM clinical category: • Clinical classification may be adjusted by a surgical procedure that occurred during the prior inpatient stay,

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