The HIPPS code for this scenario is "01". We have created a grid for quick reference from the PPS Final Rules. I would share it if anyone wants it. For others, look to the PPS Final Rules (July 1999) for HIPPS coding.
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of CAROLYN ORTTEL
Sent: Wednesday, December 17, 2003 2:27 PM
To: [EMAIL PROTECTED]
Subject: Re: Hipps modifiers
Fro medicare, I believe you would code 0/1 for 5-day PPS
>>> [EMAIL PROTECTED] 12/17/03 12:43PM >>>
>
>
> Need help with this situation.
>
> I had a resident who was readmitted from the hospital to
medicare. Her 5
> day assessment fell in the time period that her quarterly
was due. She
> was not a signficant change. She just needed PT/OT for
endurance. That
> was the only change. She stayed on medicare for 7 days.
When I opened
> the assessment, I coded it for quarterly and 5 day. When
I transmitted to
> state it was accepted. Now in closing the end of month
for billing, the
> software did not pull a Hipps modifier. I can't find a
Hipps modifier for
> this. Help!!
> Would I manually enter 5/1?
>
>
> Kathy Vogt, RN
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