The implementation of the new minimum data set instrument mds 3 0 is scheduled for oct.
Mds rugs codes.
The first three positions of the code contain the rug group and the last two positions of the code contain a 2 digit assessment indi cator ai code.
Hipps code master list see file below an excel spreadsheet that provides a complete list of all valid hipps codes with their effective dates payment settings and code definitions.
The medicare required pps assessment schedule includes 5 day 14 day 30 day 60 day and 90 day scheduled assessments.
The attached file contains the list of the newly added hipps codes.
Elimination of mds schedule 2.
This instruction contains new hipps codes resulting from the conversion to the new rug iv coding system.
Optional interim payment assessment.
Cover the observation look back period which is the time period when the resident s condition is captured by the mds assessment.
Mds 3 rug 53 groups.
The hcpcs rates field must contain a 5 digit hipps code.
For a complete list of ai codes see page 22.
During the passage of the patient protection and affordable care act aca congress delayed the.
Elimination of other medicare required assessment omra day 5 mds.
The 3 digit classification code assigned to each rug group and newly defined 2 digit assessment.
If you have questions please contact your humana market contractor representative as soon as possible.
Contents include 1 a dos grouper program that will update rug iii classifications in an mds 2 0 submission file in standard cms format.
Rug iii version 5 12 grouper package files.
Change request process see file below describes the steps necessary to request a modification in the hipps codeset and the cms code approval process.
2 a manual calculator module in the grouper program that allows the user to enter the rug iii mds items on screen and then view the resulting.
Mds 3 rug iii version 5 12 44 grouper.
Mds 3 0 rug iv decision tree 48 grouper minnesota case mix system.
Discharge mds with therapy codes.
Mds 3 0 rug iv decision tree 48 grouper.
Rug iii version 5 2 calculator worksheet 34 group model.
All other providers should follow cms expectations and schedule of assessments as outlined by the cms rai mds 3 0 and medicare billing manuals.
Do not code anything on the mds that did not occur during the observation period.
Originally the corresponding updated resource utilization group rug iv reimbursement methodology was supposed to be implemented the same day.
Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012.
The 5 digit hipps code includes two components.
