How To Determine The Need For A Case Mix
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1 HOME HEALTH 2015 PPS CALCULATION WORKSHEET PATIENT NAME: ID NUMBER: DATE: TYPE OF ASSESSMENT: Start of care Follow-up Other: M EPISODE TIMING: Is the Medicare home health payment episode f which this assessment define a case mix group an "early" episode "late" episode in the patient s current sequence of adjacent Medicare home health payment episodes? EARLY LATER UNKNOWN SERVICE UTILIZATION M2200- NEED: In the home health plan of care f the Medicare payment episode f which this assessment will define a case mix group, what is the indicated need f therapy visits (total of reasonable and necessary physical, occupational, and speech-language pathology visits combined)? Enter zero [ 000 ] is no therapy visits indicated). ( ) CLINICAL SEVERITY CODE EACH ROW AS FOLLOWS: Column 1: Enter the description of the diagnosis Column 2: Enter the ICD-9-CM code f the diagnosis described in Column 1 Column : (optional) If a V-code repted in any row in Column 2 is repted in the place of a case mix diagnosis, list the appropriate case mix diagnosis (the description and the ICD-9-CM code) in the same row in Column Otherwise leave blank. Column 4: (Optional) If a V code in Column 2 is repted in place of a case mix diagnosis that requires multiple diagnosis codes under ICD-9-CM coding guidelines, enter the diagnosis descriptions and the ICD-9-CM codes in the same row in Column and 4. F example, if the case mix diagnosis is a manifestation code, recd the diagnosis description and the ICD-9-CM code f the underlying condition in Column of that row and the diagnosis description and the ICD-9-CM code f the manifestation code in Column 4 of that row. See Table f case mix adjustment variables and sces (M1020) Primary Diagnosis (M1022) Other Diagnosis (M1024) Case-Mix Diagnosis (Optional) SCORE EARLY LATE Description ICD-9-CM f each condition (V-codes are Complete only if a V-code in Column 2 is repted in place of a case mix diagnosis (V E codes are NOT Complete only if the V-code in column 2 is repted in place of a case mix diagnosis that is a multiple code situation (e.g. a manifestation code) (V E codes are NOT EPISODE M1020 Primary Diagnosis A. A. A. ( _. ) M1022 Other Diagnosis b. c. d. e. f. b. ( _. ) A. c. ( _. ) A. d. ( _. ) A. e. ( _. ) A. f. ( _. ) A. M100 Therapies the patient receives at home (mark all that apply) 1 Intravenous Infusion therapy (excludes TPN) 2 Parenteral Nutrition (TPN lipids) Enteral nutrition (nasogastric, gastrostomy, jejunostomy, any other artificial entry into the alimentary canal) M1200 Vision with crective lenses if the patient usually wears them 1 Partially impaired 2 Severely impaired
2 M1242 Frequency of pain interfering with patient s activity movement Daily, but not constantly 4 - Has pain all the time 2 1 M108 Two me pressure ulcers at Stage III Stage IV Qty. Stage Qty Stage M124 Stage of most problematic (observable) pressure ulcer 1 Stage 1 2 Stage 2 Stage 4 Stage M14 Status of most problematic (observable) stasis ulcer 2 Early/Partial Granulation Not healing M142 M1400 Status of most problematic (observable) surgical wound When is patient Dyspneic noticeably sht of breath? 2 Early/Partial Granulation Not healing 2 With moderate exertion With minimal exertion with agitation 4 At rest (during day night) M1620 Bowel Incontinence Frequency 2 One to three times weekly 4 On a daily basis Four to six times weekly 5 Me often than once daily 4 M160 Ostomy Bowel Elimination: Does this patient have an ostomy bowel elimination that (within the last 14 days): A) was related to an inpatient facility stay OR B) Necessitated a change in medical treatment regimen? 1 Patient s ostomy was not related to an inpatient stay and did not necessitate change in medical treatment regimen 2 The ostomy was related to an inpatient stay did necessitate change in medical treatment regimen M200 Management of Injectable Medications CLINICAL TOTAL POINTS: 0 Able to independently take the crect medication and proper dosage at the crect times 1 Able to take injectable medication at crect times if: (a) individual syringes are prepared in advance by another person OR (b) another person develops a drug diary chart 2 Able to take injectable medications at the crect time if given reminders by another person based on the frequency of the injection Unable to take injectable medication unless administered by another person HHRG: C = FUNCTIONAL STATUS SCORE EARLY LATE OASIS ITEMS DESCRIPTION EPISODE M1810 M1820 Ability to Dress Upper Body (with without dressing aids) Ability to Dress Lower Body (with without dressing aids) 1 Able to dress without assistance if clothing is laid out handed to the patient 2 Someone must help the patient put on clothing Patient depends entirely on another person to dress 1 Able to dress without assistance if clothing and shoes are laid out handed to the patient 2 Someone must help the patient put on undergarments, slacks, socks nylons, and shoes Patient depends entirely on another person to dress 2 2 M180 Bathing: Ability to wash entire body. Excludes grooming (washing face and hands and shampooing hair) 2 Able to bathe in shower tub with the intermittent assistance of another person: A) f intermittent supervision encouragement reminders OR B) to get in and out of the shower tub, OR C) f washing difficult to reach areas - Participates in bathing self in shower tub, but requires presence of another person throughout the bath f assistance supervision 4 Unable to use the shower tub but able to bathe self independently with without the use of devices at the sink, chair, commode 5 Unable to use the shower tub, but able to participate in bathing self in bed, sink, bedside chair on commode with the assistance supervision of another person throughout the bath 6-Unable to participate effectively in bathing and is bathed totally by another person 6 5
3 M1840 Toileting Transferring: Current ability to get to and from the toilet bedside commode safely and transfer on and off toilet/ commode M1850 Transferring: Current ability to move safely from bed to chair, ability to turn and position self in bed if patient is bedfast 2 Unable to get to and from the toilet but is able to use a bedside commode (with without assistance) Unable to get to and from the toilet bedside commode but is able to use a bedpan/urinal independently 4 Is totally dependent in toileting 2 Able to bear weight and pivot during the transfer process but unable to transfer self Unable to transfer self and is unable to bear weight pivot when transferred by another person 4 Bedfast, unable to transfer but is able to turn and position self in bed 5 Bedfast, unable to transfer and is unable to turn and position self M1860 Ambulation/Locomotion: Current ability to walk safely, once in a standing position, use a wheelchair, once in a seated position on a variety of surfaces 1 With the use of a one-handed device, able to independently walk on even and uneven surfaces and negotiate stairs with without railings 2 Requires use of a two-handed device to walk alone on a level surface and/ requires human supervision assistance to negotiate stairs steps uneven surfaces Able to walk only with the supervision assistance of another person at all times 4 Chairfast, unable to ambulate and is able to wheel self independently 5 Chairfast, unable to ambulate and is unable to wheel self 6 Bedfast, unable to ambulate be up in chair FUNCTIONAL TOTAL POINTS: TABLE 1: SEVERITY GROUP DEFINITIONS: FOUR-EQUATION MODEL HHRG: F = & EPISODES EPISODES ALL EPISODES 0 TO 1 14 TO 19 0 TO 1 14 TO 19 GROUPING STEP THERPY EQUATION(S) USED TO CALCULATE POINTS (SEE TABLE 2A) (2&4) DIMENSION CLINICAL FUNCTIONAL SERVICES UTILIZATION (NUMBER OF ) SEVERITY LEVELS C1 C2 C F1 F2 F S1 S2 S S4 S5 0 TO 1 0 TO TO 5 0 TO 2 TO 2 TO TO 12 4 TO TO 14 0 TO 0 TO TO TO TO 7 TO TO 5 14 TO 15 O TO 5 14 TO (ONE GROUP) 6 16 TO TO 17 7 TO 9 18 TO 19 7 TO 9 18 TO TO 1 11 TO 1 NOTE: FOR EPISODES WITH 20 OR MORE, SCORING FOR CLINICAL AND FUNCTIONAL SEVERITY IS ASSIGNED BASED ON THE FOUR- EQUATION MODEL, THAT IS, SCORING IS ASSIGNED FROM SCORE VALUES OF EITHER EQUATION 2 OR EQUATION 4, ACCORDING TO WHETHER THE EPI- SODE OCCURRED AS EARLY OR LATER. HOWEVER, SEVERITY LEVEL CLASSIFICATION IS BASED ON THE SAME SCORE INTERVALS FOR ALL EPISODES NONROUTINE SUPPLIES TABLE 10A: NRS Case-Mix Adjustment Variables and Sces Item Description Sce 1 Primary Diagnosis = Anal fissure, fistula and abscess 15 2 Other Diagnosis = Anal fissure, fistula and abscess 1 Primary Diagnosis = Cellulitis and abscess 14 4 Other Diagnosis = Cellulitis and abscess 8 5 Primary Diagnosis = Diabetic Ulcers 20 6 Primary Diagnosis = Gangrene 11 7 Other Diagnosis = Gangrene 8 8 Primary Diagnosis = Malignant Neoplasms of the skin 15
4 9 Other Diagnosis = Malignant Neoplasms of the skin 4 10 Primary Other Diagnosis = Non-pressure and non-stasis ulcers 1 11 Primary Diagnosis = Other infections of skin and subcutaneous tissue Other Diagnosis = Other infections of skin and subcutaneous tissue 7 1 Primary Diagnosis = Post-operative complications 2 14 Other Diagnosis = Post-operative complications Primary Diagnosis = Traumatic wounds and Burns Other Diagnosis = Traumatic wounds and Burns 8 17 Primary Other Diagnosis = V code, Cystostomy Care Primary Other Diagnosis = V code, Tracheostomy Care 2 19 Primary Other Diagnosis = V code, Urostomy Care OASIS M122 = 1 2 Pressure Ulcers, Stage OASIS M122 = Pressure Ulcers, Stage 1 `6 22 OASIS M108 = 1 Pressure ulcer, Stage OASIS M108 = 2 Pressure ulcers, Stage OASIS M108 = Pressure ulcers, Stage OASIS M108 = 4 Pressure ulcers, Stage OASIS M108 = 1 Pressure ulcer, Stage OASIS M108 = 2 Pressure ulcers, Stage OASIS M108 = Pressure ulcers, Stage OASIS M108 = 4 Pressure ulcers, Stage 58 0 OASIS M108 = 1 Pressure ulcer, Stage OASIS M108 = 2 Pressure ulcers, Stage OASIS M108 = Pressure ulcers, Stage 4 75 OASIS M108 = 1 Unstageable Dressing/Device Unstageable Slough/Eschar 17 4 OASIS M12 = 2 (2 stasis ulcers) 6 5 OASIS M12 = ( stasis ulcers) 12 6 OASIS M12 = 4 (4 stasis ulcers) 21 7 OASIS M10 = 1 ( (Unobservable stasis ulcers) 9 8 OASIS M14 = 1 (status of most problematic stasis ulcer: fully granulating) 6 9 OASIS M14 = 2(status of most problematic stasis ulcer: early/partial granulation) OASIS M14 = (status of most problematic stasis ulcer: not healing) 6 41 OASIS M142 = 2 (status of most problematic surgical wound: early/partial granulation) 4 42 OASIS M0488 M142 = = (status of of most problematic surgical wound: not not healing) 14 4 OASIS M160 = 1(ostomy not related to inpatient stay/ no regimen change) OASIS M160 = 2 (ostomy related to inpatient stay/regimen change) Any selected Skin Conditions (row 1-42 above) AND M160 = 1 (ostomy not related to inpatient stay/no regimen change) Any selected Skin Conditions (row 1-42 above) AND M160 = 2 (ostomy related to inpatient stay/regimen change) OASIS M100 (Therapy at home) = 1 (IV infusion) 5 48 OASIS M1610 = 2 (patient requires urinary catheter) 9 49 OASIS M1620 = 4 5 (bowel incontinence, daily >daily) 10 NRS TOTAL POINTS: TABLE 9: Non-Routine Medical Supplies Six-group Approach SEVERITY LEVEL POINTS (SCORING) PAYMENT AMOUNT 1 0 $ TO 14 $ TO 27 $ TO 48 $ TO 98 $ $561.42
5 HOME HEALTH 2015 PPS CALCULATION WORKSHEET PATIENT NAME: PATIENT ID NUMBER: ASSESSMENT DATE: 60 DAY EPISODE RATE HHRG: C = F = S = HIPPS CODE CONVERSION: Equation = C = F = S = NRS Level = See HIPPS Code Conversion Chart! Calculated 60-day Payment Amount Based on 2010 HHRG Calculation Wksheets: $ (1) AGENCY DIRECT COST ESTIMATIONS: AGENCY PLANNED FOR 60 DAY EPISODE DISCIPLINE # OF X COST/VISIT = TOTAL SKILLED NURSING: X = PHYSICAL : X = OCCUPATIONAL : X = SPEECH : X = HOME HEALTH AIDE: X = MEDICAL SOC WORKER: X = Other MISC: X = TOTAL VISIT COSTS: $ (2) TOTAL SUPPLIES: $ () TOTAL 60 DAY PER EPISODE DIRECT COST: $ (2) TOTAL AGENCY PAYMENT NUMBER (1) $ TOTAL AGENCY DIRECT COST: Grand Total Visit Cost: $ (2) (-) $ (2) AGENCY MARGIN: $ SUPPLIES PLANNED FOR 60 DAY EPISODE: Grand Total Supply Cost: $ ()
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