This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
• I have no financial relationships to disclose• I have no conflicts of interests to disclose• I will not promote any commercial products or
services
All Planning Committee members, content reviewers, authors, and presenters have been evaluated for conflicts of interest and there are not any to disclose.
Requirements for Successful Completion• 1.25 contact hours will be awarded for this continuing nursing
education activity.• Criteria for successful completion includes attendance for at
least 80% of the entire event. Partial credit may not be awarded.
• Approval of this continuing education activity does not imply endorsement by AANAC or ANCC (American Nurses Credential Center) of any commercial products or services.
American Association of Post-Acute Care Nursing (AAPACN)* is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
*AAPACN d/b/a American Association of Nurse Assessment Coordination (AANAC)
Skilled nursing facilities must assess the clinical condition of beneficiaries by completing the MDS assessment for each Medicare resident receiving Part A SNF-level care for reimbursement of SNF Prospective Payment System (PPS)
• Required for Medicare Part A only• Required when a resident’s Medicare Part A stay
ends, but the resident remains in the facility• Required if the End Date of Most Recent Medicare
Stay (A2400C) occurs on the day or one day before physical discharge from the facility– Both OBRA and PPS Part A discharge are required– May be combined
Resident is on a Medicare Part A stay• All skilled services ended and last day of Medicare is day 23• Resident will remain in the facility • End Date of Most Recent Medicare Stay (A2400C) = Day 23• Part A PPS Discharge assessment required - ARD on day 23
• SNF fails to set the ARD of a PPS assessment prior to the end of the last day of the ARD window, including grace days, and the resident is no longer a SNF PPS Part A resident – Facility is liable
• Cannot bill Medicare or any other payer– Some exceptions (RAI Page 6-53)
– Primary reason for the SNF PPS stay– May be different from reason for qualifying hospital stay– Methodology uses MDS item I0020B– Use ICD-10 Mapping file to determine clinical category
PT and OT Components• In addition to coding the ICD-10-CM code at
I0020B, if the resident had a surgery related to the primary diagnosis during the preceding hospital stay, this also needs to be identified– May be needed to achieve one of the surgery-related
clinical categories (not required by all diagnoses)• Major Joint Replacement or Spinal Surgery• Non-Orthopedic Surgery• Orthopedic Surgery
• The surgical procedure category will be selected by checking the applicable MDS items J2100 –J5000
– BIMS interview (Preferably the day of or the day before the ARD)• Cognitively intact with a BIMS score of 13–15• Mildly impaired with a score of 8–12• Moderately impaired with a score of 0–7
– If BIMS is incomplete or not attempted, then the Cognitive Performance Score (CPS) is used • B0100 (with GG0170B, C, D, E, and F) • B0700• C0700• C1000 Tool on next slide
• In cases where neither the BIMS nor the staff assessment is completed, the resident will be considered “cognitively intact” for PDPM SLP case-mix classification purposes
• RAI User’s Manual definition of mechanically altered diet
A diet specifically prepared to alter the texture or consistency of food to facilitate oral intake. Examples include soft solids, puréed foods, ground meat, and thickened liquids. A mechanically altered diet should not automatically be considered a therapeutic diet
• Coding Tip– Enteral feeding formulas should not be coded as a
GG Function Score for Nursing • Eating (GG0130A)• Toileting hygiene (GG0130C)• Sit to lying (GG0170B)• Lying to sitting on side of bed (GG0170C)• Sit to stand (GG0170D)• Chair/bed-to-chair transfer (GG0170E)• Toilet transfer (GG0170F)
Nursing ComponentCATEGORY: Special Care HighStep 1: One of the following:
– Comatose and completely dependent or activity did not occur at admission (B0100 and GG0130A1, GG0130C1, GG0170B1, GG0170C1, GG0170D1, GG0170E1, and GG0170F1, all equal 01, 09, or 88)
– Septicemia (I2100) – Diabetes with both insulin injections for all 7 days and insulin
order changes on 2 or more days (I2900, N0350A and B)– Quadriplegia (I5100) with Nursing function score less than or
equal to 11– Fever (J1550A) and Pneumonia (I2000), Vomiting (J1550B),
Weight loss (K0300), OR Feeding tube (K0510B1 or K0510B2)– COPD (I6200) and shortness of breath while lying flat (J1100C)– Parenteral or IV feedings (K0510A1 or A2) – Respiratory therapy while a resident (O0400D2) for all 7 days
Nursing ComponentCATEGORY: Special Care LowStep 1: One of the following:
– Radiation treatment while a resident (O0100B2) – Dialysis treatment while a resident (O0100J2)
Feeding tube requirements: • (1) K0710A3 is 51% or more of total calories OR• (2) K0710A3 is 26% to 50% of total calories and K0710B3 is 501 cc or more
per day fluid enteral intake in the last 7 daysSelected skin treatments:• Pressure-relieving chair and/or bed* (M1200A, B)• Turning/repositioning (M1200C)• Nutrition or hydration intervention (M1200D)• Pressure ulcer care (M1200E) • Application of dressings (not to feet) (M1200G)• Application of ointments (not to feet) (M1200H)
Nursing ComponentCATEGORY: Clinically ComplexStep 1: One of the following:
– Pneumonia (I2000) – Hemiplegia/hemiparesis (I4900) with Nursing Function
score less than or equal to 11– Open lesions (other than ulcers, rashes, and cuts)
(M1040D) with any selected skin treatment* or surgical wounds (M1040E)
– Burns (M1040F) – Chemotherapy while a resident (O0100A2) – Oxygen therapy while a resident (O0100C2) – IV medications while a resident (O0100H2) – Transfusions while a resident (O0100I2 ) *Selected Skin Treatments: M1200F Surgical wound care, M1200G Application of nonsurgical dressing (other than to feet), M1200H Application of ointments/medications (other than to feet)
Nursing ComponentCATEGORY: Behavioral Symptoms and Cognitive Performance Step 3: Staff Assessment of Mental Status If the resident meets one of the three following conditions, he/she classifies in the Behavioral Symptoms and Cognitive Performance category 1. Coma (B0100 = 1) and completely dependent or activity did not occur at
admission (GG0130A1, GG0130C1, GG0170B1, GG0170C1, GG0170D1, GG0170E1, and GG0170F1 all equal 01, 09, or 88)
2. Severely impaired cognitive skills for daily decision making (C1000 = 3) 3. Two or more of the following impairment indicators are present:
– B0700 > 0 Usually, sometimes, or rarely/never understood– C0700 = 1 Short-term memory problem– C1000 > 0 Impaired cognitive skills for daily decision makingand– One or more of the following severe impairment indicators is present:– B0700 > = 2 Sometimes or rarely/never makes self understood– C1000 > = 2 Moderately or severely impaired cognitive skills for daily
Nursing ComponentCATEGORY: Behavioral Symptoms and Cognitive Performance Step 4: BehaviorsIf the resident presents with one of the following behavioral symptoms, he/she classifies in the Behavioral Symptoms and Cognitive Performance category • Hallucinations (E0100A) • Delusions (E0100B) • Physical behavioral symptoms directed towards others (E0200A = 2 or
3) • Verbal behavioral symptoms directed towards others (E0200C = 2 or 3) • Other behavioral symptoms not directed towards others (E0200C = 2
or 3) • Rejection of care (E0800 = 2 or 3) • Wandering (E0900 = 2 or 3)
Nursing ComponentCATEGORY: Reduced Physical FunctionStep 1: Did not meet previous categories • Residents who do not meet the conditions of any of the
previous categories, including those who would meet the criteria for the Behavioral Symptoms and Cognitive Performance category but have a PDPM nursing function score less than 11, are placed in this category
Variable Per Diem• Payment Model Research identified that certain costs
and services did not remain constant throughout the Medicare stay – High initial cost of non-therapy ancillaries – Tapering costs and services of PT and OT
Component Case-Mix Adjusted Variable Per Diem (VPD) Adjustment Schedule
Interrupted Stay PolicyCMS Definition of Interrupted Stay• CMS defines an “interrupted” SNF stay as one in
which a patient is discharged from Part A covered SNF care and subsequently readmitted to Part A covered SNF care in the same SNF (not a different SNF) during the interruption window
• Note that if a resident drops to a non-skilled level of care or otherwise leaves Part A SNF care, the patient is considered to have been discharged for the purposes of the interrupted stay policy, even if the patient remains in the facility
Please submit questions to:The New to MDS Community
109
109
Copyright 2019, American Association of Post-Acute Care Nursing, d/b/a American Association of Nurse Assessment Coordination. All Rights Reserved. AANAC.org | Released Aug. 2019Copyright 2019, American Association of Post-Acute Care Nursing, d/b/a American Association of Nurse Assessment Coordination. All Rights Reserved. AANAC.org `
Patient-Driven Payment Model (PDPM): At-a-GlanceThe PDPM establishes a rate on the 5-day MDS for the entire stay by combining five different case-mix components (PT, OT, SLP, Nursing, and Non-Therapy Ancillary) with the non-case-mix component. The rate may be changed during the Medicare Part A stay by completing the optional Interim Payment Assessment (IPA).
Use the following at-a-glance tools to identify the case-mix group for each component and improve your understanding of the Patient-Driven Payment Model.
NOTE: This document is intended to aid members in their review of the Patient-Driven Payment Model. Resources: FY 2019 and FY 2020 SNF PPS Final Rulemaking, CMS Fact sheet: PDPM Patient Classification, and CMS draft PDPM Calculation Worksheet for SNFs. AANAC has made every attempt to ensure the accuracy and reliability of the information provided. AANAC does not accept any responsibility or liability for the accuracy, content, and completeness of the information.
PT Case-Mix
Group
OT Case-Mix
Group
SLP Case-Mix
Group
Nursing Case-Mix
Group
Non-Therapy Ancillary Case-Mix
Group
Non-Case-Mix Component
Resident’s Total Rate
1
Patient-Driven Payment Model: At-a-Glance
Copyright 2019, American Association of Post-Acute Care Nursing, d/b/a American Association of Nurse Assessment Coordination. All Rights Reserved. AANAC.org | Released Aug. 2019
PT Component and OT Component*
Scoring Response for Section GG Items Score
05, 06 Set-up assistance, independent 4
04Supervision or touching assistance
3
03 Partial/moderate assistance 2
02 Substantial/maximal assistance 1
01, 07, 09, 10, 88, [-]
Dependent, refused, not attempted, resident does not walk**
0
Section GG items (column 1 on the 5-day or column 5 on the IPA)
Score
GG0130A Self-care: Eating 0–4
GG0130B Self-care: Oral hygiene 0–4
GG0130C Self-care: Toileting hygiene 0–4
GG0170B Mobility: Sit to lying 0–4 (avg. of 2 bed
mobility items)
GG0170CMobility: Lying to sitting on side of bed
GG0170D Mobility: Sit to stand 0–4 (avg. of 3 transfer items)
GG0170EMobility: Chair/bed-to-chair transfer
GG0170F Mobility: Toilet transfer
GG0170JMobility: Walk 50 feet with 2 turns
0–4 (avg. of 2 walking items)GG0170K Mobility: Walk 150 feet
Major Joint Replacement or Spinal Surgery
6–9
10–23
24
0–5
6–9
10–23
24
0–5
6–9
10–23
24
0–5
6–9
10–23
24
0–5
Other Orthopedic
Medical Management
TA
TB
TC
TD
TE
TF
TG
TH
TI
TJ
TK
TL
TM
TN
TO
TP
Non-Orthopedic Surgery and Acute Neurologic
Clinical Category
PT and OT Case-Mix Group
GG Function Score
NOTE: This document is intended to aid members in their review of the Patient-Driven Payment Model. Resources: FY 2019 and FY 2020 SNF PPS Final Rulemaking, CMS Fact sheet: PDPM Patient Classification, and CMS draft PDPM Calculation Worksheet for SNFs. AANAC has made every attempt to ensure the accuracy and reliability of the information provided. AANAC does not accept any responsibility or liability for the accuracy, content, and completeness of the information.
PT Component and OT Component: PT and OT components will always result in the same case-mix group; however, the PT and OT case-mix indices/payment levels differ.
If a resident is coded as not attempted (07, 09, 10, or 88) for GG0170I1 (Walk 10 feet), then walking items for GG0170J1 (Walk 50 feet with 2 turns) and GG0170K1 (Walk 150 feet) will be scored as zero points.
1.53
1.70
1.88
1.92
1.42
1.61
1.67
1.16
1.13
1.42
1.52
1.09
1.27
1.48
1.55
1.08
1.49
1.63
1.69
1.53
1.41
1.60
1.64
1.15
1.18
1.45
1.54
1.11
1.30
1.50
1.55
1.09
PT CMI
OT CMI
2
Patient-Driven Payment Model: At-a-Glance
Copyright 2019, American Association of Post-Acute Care Nursing, d/b/a American Association of Nurse Assessment Coordination. All Rights Reserved. AANAC.org | Released Aug. 2019
SLP Component
NOTE: This document is intended to aid members in their review of the Patient-Driven Payment Model. Resources: FY 2019 and FY 2020 SNF PPS Final Rulemaking, CMS Fact sheet: PDPM Patient Classification, and CMS draft PDPM Calculation Worksheet for SNFs. AANAC has made every attempt to ensure the accuracy and reliability of the information provided. AANAC does not accept any responsibility or liability for the accuracy, content, and completeness of the information.
Neither
Either
Both
Any one
Neither
Either
Both
Any two
Neither
Either
Both
All three
Neither
Either
Both
SD
SE
SF
SG
SH
SI
SJ
SK
SL
SA
SB
SC
None
Presence of Acute Neurologic Condition, SLP-Related Comorbidity*, or Cognitive Impairment**
Presence of: Swallowing Disorder (K0100A–D) OR Mechanically Altered Diet (K0510C2)
SLP Case-Mix
Group
SLP-Related Comorbidities:Aphasia (I4300); CVA, TIA, or Stroke (I4500); Hemiplegia or Hemiparesis (I4900); TBI (I5500); Tracheostomy (O0100E2); Ventilator (O0100F2); Laryngeal Cancer, Apraxia, Dysphagia, ALS, Oral Cancers, Speech and Language Deficits (I8000)
Cognitive Impairment:The PDPM cognitive level is based on the Brief Interview for Mental Status (BIMS) or staff assessment. See the CMS PDPM Calculation worksheet in chapter 6 of the RAI User's Manual.
SLP CMI
1.46
2.34
2.98
2.04
2.86
3.53
2.99
3.70
4.21
0.68
1.82
2.67
3
Patient-Driven Payment Model: At-a-Glance
Copyright 2019, American Association of Post-Acute Care Nursing, d/b/a American Association of Nurse Assessment Coordination. All Rights Reserved. AANAC.org | Released Aug. 2019
Nursing Component* NOTE: This document is intended to aid members in their review of the Patient-Driven Payment Model. Resources: FY 2019 and FY 2020 SNF PPS Final Rulemaking, CMS Fact sheet: PDPM Patient Classification, and CMS draft PDPM Calculation Worksheet for SNFs. AANAC has made every attempt to ensure the accuracy and reliability of the information provided. AANAC does not accept any responsibility or liability for the accuracy, content, and completeness of the information.
RESIDENT
CLINICALLY COMPLEX YES
2 DEPRESSED0-5
6-1415-16
CDE2 CBC2
CA2
1 NOT DEPRESSED
0-56-14
15-16
CDE1 CBC1
CA1
YES
2 NURSING REHAB 2+
0-56-14
15-16
PDE2 PBC2
PA2
1 NURSING REHAB 0-1
0-56-14
15-16
PDE1 PBC1
PA1 REDUCED PHYSICAL FUNCTION
BEHAVIOR SX COGNITION
11-16 BAB2
11-16 BAB1YES
2 NURSING REHAB 2+
1 NURSING REHAB 0-1
SPECIAL CARE HIGH
0-56-14
HDE2 HBC2
0-56-14
HDE1 HBC1
YES2 DEPRESSED
1 NOT DEPRESSED
SPECIAL CARE LOW
0-56-14
LDE2 LBC2
0-56-14
LDE1 LBC1
YES2 DEPRESSED
1 NOT DEPRESSED
NO
NO
NO
NO
NO
EXTENSIVE SERVICES YES
ES3 ES2
ES1
3 TRACHEOSTOMY & VENTILATOR2 TRACHEOSTOMY OR VENTILATOR1 INFECTION ISOLATION
0-140-140-14
GG-based Function Score
Scoring Response for Section GG Items Score
05, 06 Set-up assistance, independent 4
04 Supervision or touching assistance 3
03 Partial/moderate assistance 2
02 Substantial/maximal assistance 1
01, 07, 09, 10, 88, [-]
Dependent, refused, not attempted 0
Section GG items (column 1 on the 5-day or column 5 on the IPA)
Score
GG0130A Self-care: Eating 0–4
GG0130C Self-care: Toileting hygiene 0–4
GG0170B Mobility: Sit to lying 0–4 (avg. of 2 bed mobility items) GG0170C
Mobility: Lying to sitting on side of bed
GG0170D1 Mobility: Sit to stand0–4
(avg. of 3 transfer items)
GG0170E1Mobility: Chair/bed-to-chair transfer
GG0170F1 Mobility: Toilet transfer
Nursing Component: See the CMS PDPM calculation worksheet in chapter 6 of the RAI User's Manual for inclusion criteria for each nursing classification.
Nursing CMI
4.063.072.93
2.402.241.991.86
2.081.721.731.43
1.871.551.091.621.340.94
1.04
0.99
1.571.220.711.471.130.66
4
Patient-Driven Payment Model: At-a-Glance
Copyright 2019, American Association of Post-Acute Care Nursing, d/b/a American Association of Nurse Assessment Coordination. All Rights Reserved. AANAC.org | Released Aug. 2019
Non-Therapy Ancillary (NTA) Component
NOTE: This document is intended to aid members in their review of the Patient-Driven Payment Model. Resources: FY 2019 and FY 2020 SNF PPS Final Rulemaking, CMS Fact sheet: PDPM Patient Classification, and CMS draft PDPM Calculation Worksheet for SNFs. AANAC has made every attempt to ensure the accuracy and reliability of the information provided. AANAC does not accept any responsibility or liability for the accuracy, content, and completeness of the information.
** High level: K0710A2 = 3. 51% or more (while a resident)** Low level: K0710A2 = 2. 26–50% (while a resident) and
K0710B2 = 2. 501cc/day or more (while a resident)
Condition/Extensive Service Source Points
HIV/AIDS SNF Claim 8
Parenteral IV Feeding: Level High MDS Item K0510A2, K0710A2 7
Special Treatments/Programs: Intravenous Medication Post-admit Code MDS Item O0100H2 5
Special Treatments/Programs: Ventilator or Respirator Post-admit Code MDS Item O0100F2 4
Parenteral IV Feeding: Level LowMDS Item K0510A2, K0710A2, K0710B2
3
Lung Transplant Status MDS Item I8000 3
Special Treatments/Programs: Transfusion Post-admit Code MDS Item O0100I2 2
Major Organ Transplant Status, Except Lung MDS Item I8000 2
Active Diagnoses: Multiple Sclerosis Code MDS Item I5200 2
Psoriatic Arthropathy and Systemic Sclerosis MDS Item I8000 1
Chronic Pancreatitis MDS Item I8000 1
Proliferative Diabetic Retinopathy and Vitreous Hemorrhage MDS Item I8000 1
Continued
5
Patient-Driven Payment Model: At-a-Glance
Copyright 2019, American Association of Post-Acute Care Nursing, d/b/a American Association of Nurse Assessment Coordination. All Rights Reserved. AANAC.org | Released Aug. 2019
Non-Therapy Ancillary (NTA) Component (Continued)
NOTE: This document is intended to aid members in their review of the Patient-Driven Payment Model. Resources: FY 2019 and FY 2020 SNF PPS Final Rulemaking, CMS Fact sheet: PDPM Patient Classification, and CMS draft PDPM Calculation Worksheet for SNFs. AANAC has made every attempt to ensure the accuracy and reliability of the information provided. AANAC does not accept any responsibility or liability for the accuracy, content, and completeness of the information.
Condition/Extensive Service Source Points
Other Foot Skin Problems: Foot Infection Code, Other Open Lesion on Foot Code, Except Diabetic Foot Ulcer Code (M1040B)
MDS Item M1040A, M1040C
1
Complications of Specified Implanted Device or Graft MDS Item I8000 1
Bladder and Bowel Appliances: Intermittent Catheterization MDS Item H0100D 1
Inflammatory Bowel Disease MDS Item I1300 1
Aseptic Necrosis of Bone MDS Item I8000 1
Special Treatments/Programs: Suctioning Post-admit Code MDS Item O0100D2 1
Cardio-Respiratory Failure and Shock MDS Item I8000 1
Myelodysplastic Syndromes and Myelofibrosis MDS Item I8000 1
Systemic Lupus Erythematosus, Other Connective Tissue Disorders, and Inflammatory Spondylopathies
MDS Item I8000 1
Diabetic Retinopathy—Except Proliferative Diabetic Retinopathy and Vitreous Hemorrhage
MDS Item I8000 1
Nutritional Approaches While a Resident: Feeding Tube MDS Item K0510B2 1
Severe Skin Burn or Condition MDS Item I8000 1
Intractable Epilepsy MDS Item I8000 1
Active Diagnoses: Malnutrition Code MDS Item I5600 1
Disorders of Immunity—Except: RxCC97: Immune Disorders MDS Item I8000 1
Cirrhosis of Liver MDS Item I8000 1
Bladder and Bowel Appliances: Ostomy MDS Item H0100C 1
Respiratory Arrest MDS Item I8000 1
Pulmonary Fibrosis and Other Chronic Lung Disorders MDS Item I8000 1
NTA Score Range NTA Case-Mix Group
NTA CMI
12+ NA 3.24
9–11 NB 2.53
6–8 NC 1.84
3–5 ND 1.33
1–2 NE 0.96
0 NF 0.72
6
Resident Cognitive Level DeterminationSTEP A – SEVERELY IMPAIRED
MDS Item MDS Score Yes No
Option 1:Comatose (B0100) = 1 and all following Section GG items:
Lying to sitting on side of bed (GG0170C1)Sit to stand (GG0170D1)
Chair/bed-to-chairtransfer (GG0170E1)Toilet transfer (GG0170F1)
Option 2:Cognitive skills for daily decision making
B0100 = (1)andResident completely dependent or activity did not occur for ALL seven (7) Section GG items of the MDS
MDS coding equals one of the following:(01) Dependent(09) Not Applicable(88) Not attempted due to medical condition or safety concerns(10) Not attempted due to environmental limitations
C1000 = (3)
If “yes”to either option #1 or#2 stop here[Resident is considered severely cognitively impaired for PDPM]
If “no” to both option #1 and #2 proceed to Step B
A. Cognitive Skills for Daily Decision Making (C1000) Score 1 point if MDS response to C1000 = 1 or 2
B. Makes Self Understood (B0700) Score 1 point if MDS response to B0700 = 1, 2, or 3
C. Short-term Memory OK (C0700) Score 1 point if MDS response to C0700 = 1
B1: Basic Impairment Count (Sum of A, B, and C scores)
STEP B2 – SEVERE IMPAIRMENT COUNTMDS Item MDS Score Score
D. Cognitive Skills for Daily Decision Making (C1000) Score 1 point if MDS response to C1000 = 2
E. Makes Self Understood (B0700) Score 1 point if MDS response to B0700 = 2 or 3
B2: Severe Impairement Count (sum of D and E scores)
PDPM Cognitive LevelSeverely Impaired If yes is answered to step 1 or 2 in Step A
Moderately Impaired If the Basic Impairment Count (B1) is 2 or 3 AND the Severe Impairment Count (B2) is 1 or 2.
Mildly Impaired If the Basic Impairment Count (B1) is 1, 2, or 3 and the Severe Impairment Count (B2) is “0”.
Cognitively Intact If both the basic (B1) and severe (B2) impairment count are “0”
Copyright 2019, American Association of Post-Acute Care Nursing, d/b/a American Association of Nurse Assessment Coordination. All Rights Reserved | AANAC.org
Disclaimer: AANAC has made every attempt to ensure the accuracy and reliability of the information provided. AANAC does not accept any responsibility or liability for the accuracy, content, and completeness of the information.Skilled Nursing Facilities are responsible to review and understand the the PDPM Classification Walkthrough. For more information: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/Downloads/SNF_PDPM_Classification_Walkthrough_20181116.pdf Release Date: April 2019
PDPM Case-Mix Group Conversion to HIPPS Characters
PT/OT Payment Group
SLP Payment Group
Nursing Payment Group
NTA Payment Group HIPPS Character
TA SA ES3 NA A
TB SB ES2 NB B
TC SC ES1 NC C
TD SD HDE2 ND D
TE SE HDE1 NE E
TF SF HBC2 NF F
TG SG HBC1 G
TH SH LDE2 H
TI SI LDE1 I
TJ SJ LBC2 J
TK SK LBC1 K
TL SL CDE2 L
TM CDE1 M
TN CBC2 N
TO CA2 O
TP CBC1 P
CA1 Q
BAB2 R
BAB1 S
PDE2 T
PDE1 U
PBC2 V
PA2 W
PBC1 X
PA1 Y
Assessment Type HIPPS CharacterIPA 0
PPS 5-day 1
1st character PT and OT payment group
2nd character SLP payment group
3rd character Nursing payment group
4th character NTA payment group
5th character Assessment Indicator
Disclaimer: AANAC has made every attempt to ensure the accuracy and reliability of the information provided. AANAC does not accept any responsibility or liability for the accuracy, content, and completeness of the informationCopyright 2019, American Association of Post-Acute Care Nursing, d/b/a American Association of Nurse Assessment Coordination. All Rights Reserved | AANAC.org | Release Date: February 2019