Transcription of SNF PPS: Patient Driven Payment Model
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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 Ther
• RUG-IV classifies patients into a therapy RUG, based on how much therapy the patient receives, and a non-therapy RUG, based on certain patient characteristics: • Only one of these RUGs is used for payment purposes • Therapy RUGs are used to bill for over 90% of Part A days
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