Re: billing combined assessments

[carol maher]

Pages 6-5 and 6-6 of the manual lists the HIPPS modifiers to be used for PPS billing.  It shows how to code combined assessments.  I find it usually better to combine the admission assessment with the 5 day so that it can be completed more easily by day 14.  It is permissable to combine the admission assessment with the 14 day assessment with a HIPPS code of 17.  However, if you use the grace days for the 14 day combined with the admission assessment you will be out of compliance with the admission assessment.  It would not cause the 14 day PPS assessment to be default, however.  Default is used when the ARD is set outside of the assessment windows for each of the PPS assessments.  So, if you set your 14 day ARD to be between day 11-19 you won't get default.  You must keep in mind all of the OBRA rules when you have a PPS resident though.  The most restrictive MDS rules always apply.  So in this case, the rules for completing the admission assessment by day 14 becomes the one that you should be focusing on. ----- Original Message ----- From: Virginia Ridgeway To: '[EMAIL PROTECTED]' Sent: Thursday, November 13, 2003 12:06 PM Subject: billing combined assessments Could anyone direct me to a resource that would have information about billing specifically for assessments that are combined as in the case of an admission /14day? Also, if grace days  were to be used in this situation would this result in a default for billing?