the 8  (OMRA) was only coded because of the instruction in the manual, and to indicate it is a Medicare assessment..  The real reason for the assessment was an off-cycle SCSA, for he actually had an improvement in pain management and ability to tolerate & cooperate with therapy again, so was picked up by therapy.

>From: carol maher <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: [EMAIL PROTECTED]
>Subject: Re: HIPPS code--off cycle comvbined MDS
>Date: Thu, 6 Nov 2003 14:06:05 -0800 (GMT-08:00)
>


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Was this assessment truly an OMRA also?  Was the ARD no sooner than 8 and no longer than 10 days after all therapy ended?  If you just coded AA8b as 8 because it was an off-cycle Significant Change assessment then the HIPPS would be 30, which represents an off-cycle SCSA even though you entered the 8 in AA8b as the manual requires on page 2-39.  Just want to make sure that we have been understanding exactly what you have been asking.   Coding the 8 in AA8b when it is not an OMRA assessment is only done when it is an off-cycle SCSA.  Hope this did not confuse the issue, just wasn't clear.


-----Original Message-----
From: Joyce Nicholson <[EMAIL PROTECTED]>
Sent: Nov 6, 2003 11:17 AM
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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