The
HIPPS would be 08 . I included two source documents to support - Good
Luck
An SCSA that is performed for a Medicare Part A covered beneficiary (and, as such is to be billed to Medicare) when no Medicare required assessment is due, is now coded as a "30". Indicator code "30" signifies that the only reason for assessment was a SCSA. Similarly, the new HIPPS assessment indicator code for a bill based on an MDS that was performed for the combination of a SCSA and an OMRA, is "08".
http://www.snfinfo.com/content/a0156.pdf
Below is from http://cms.hhs.gov/manuals/12_snf/sn500.asp#_515_3
TABLE 2 - HIPPS ASSESSMENT INDICATOR CODES (Continued with OMRAs)
| Reason for Assessment | Other Medicare Required OMRA | ||
|---|---|---|---|
| AA8a | AA8b | HIPPS | |
| Initial Admissions | 01 | 8 | 08 |
| Annual | 02 | 8 | 08 |
| Significant Change in Status-SCSAs | 03 | 8 | 08 |
| Significant Correction of Prior Fulls | 04 | 8 | 08 |
| Quarterly | 05 | 8 | 08 |
| Significant Correction of Prior Quarterly | 10 | 8 |
08
|
|
| |||
-----Original Message-----
From: Joyce Nicholson [mailto:[EMAIL PROTECTED]
Sent: Thursday, November 06, 2003 2:17 PM
To: [EMAIL PROTECTED]
Subject: HIPPS code--off cycle comvbined MDSWe're having a discrepancy of opinions here. Can someone please give input?Completed a significant change MDS (also coded as OMRA per the manual pg 2-39)AA8a= 3 AA8b =8By the way, it was off-cycle, so what is the correct HIPPS code?The table in the manual says an off-cycle Sig chg HIPPS is 30The table in the manual says an off-cycle OMRA HIPPS is 08So which takes precedence for the purpose of the HIPPS code?Can all you gurus out there help me solve this argument please ??
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