Previous articles in this series outlined the physical and occupational therapy component and the speech language pathology component. Formulate a PDPM group to review the chart and come up with the residents primary or principal diagnosis and do the ICD-10 clinical category mapping. Other diagnoses will affect the Non-therapy Ancillary (NTA) component. This gives you enough time to prepare for their implementation of any changes as MDS assessments are time sensitive. Whats in it for me? More than half of them come from I8000 and many of these have multiple qualifying ICD-10 diagnosis codes. Request for labs, imaging studies and surgical reports whichever is applicable. Other specific items will be recorded in various parts of the MDS including Section K, M, N, and O. With such a close relationship to payment, it is critical the staff member(s) responsible for ICD-10 coding are knowledgeable in this area. When reviewing the CMI components driving PDPM reimbursement its important to consider the critical role of the Non-Therapy Ancillary (NTA) score. I am sure we'll continue to understand even more as the months go by. After a qualifying hospital stay, he has returned to the SNF for aftercare of the hip fracture. Highlights: PDPM ICD10 Consulting Confidential 2019 A Native American-Owned business Page . border: 1px solid black; And lastly, an update on therapy revenue codes and the claim CMS Transmittal 2270 from March 13, 2019 states that beginning October 1, 2019, the Medicare contractor will no longer require therapy services to be present on SNF or Swing Bed claims. Just 1 NTA point can have an average worth of anywhere from $18 to $55 per day. 1694 0 obj <>stream PDPM - Focus on NTA - YouTube The NTA component, together with the nursing and non-case mix components, make up the total reimbursement for a patient day under Medicare Part A. NTA classification is based on the presence of certain comorbidities or use of certain extensive services.
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