Also, look at Program Memorandum A-01-56 dated April 30, 2001 from CMS. Page 5 of this document shows a grid that we used to develop our own. We did not change any of the data. Along the left side of this grid are the OBRA reasons for the assessment and the top of the grid shows the PPS reason for the assessment. Where the 2 columns converge is the correct HIPPS code. Chapter 6 of the User Manual only shows the PPS data on HIPPS. Here is the website for the PM's: http://cms.hhs.gov/manuals/12_snf/SN00.asp. Click on Program Memoranda or Program Transmittals at the top of the home page.
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of [EMAIL PROTECTED]
Sent: Wednesday, December 17, 2003 3:32 PM
To: [EMAIL PROTECTED]
Subject: Re: Hipps modifiers
A current list of HIPPS modifiers can be found in the RAI
User's Manual, pages 6-5 and 6-6.
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
Subj: RE: Hipps modifiers
Date: 12/17/03 12:15:52 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
File: winmail.dat (5444 bytes) DL Time (TCP/IP): <1 minute
Sent from the Internet
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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