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 MDS

We'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 =8
By 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 30
The table in the manual says an off-cycle OMRA HIPPS is 08
So 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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