What does UDS stand for in rehab?
Uniform Data System for Medical Rehabilitation
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What does the IRF Pai measure?
The Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) is the assessment instrument IRF providers use to collect patient assessment data for quality measure calculation and payment determination in accordance with the IRF Quality Reporting Program (QRP).
What does CPT code 97110 mean?
CPT® code 97110: Therapy procedure using exercise to develop strength, endurance, range of motion and flexibility, each 15 minutes.
What are UDS measures?
The Uniform Data System (UDS) is an annual reporting system that provides standardized information about the performance and operation of health centers delivering health care services to underserved communities and vulnerable populations.
What is IRF PPS?
Under the IRF prospective payment system (PPS), Medicare’s payment rates are intended to cover all operating and capital costs that efficient facilities are expected to incur in furnishing intensive inpatient rehabilitation services.
What is the IRF?
Inpatient rehabilitation facilities (IRFs) serve a unique and valuable role within the Medicare program by treating patients who require hospital-level care in conjunction with intensive rehabilitation. Most IRF patients transfer from a general acute-care hospital following treatment for complex conditions.
What is rehab CMG?
In acute inpatient rehabilitation, case mix group (CMG) is an indication of the complexity of an individual patient and is determined by primary diagnosis, comorbidities, age, and functional assessment upon admission.
How many minutes is 8 units?
22 minutes
Minutes and Billing Units
| 8 – 22 minutes | 1 unit |
|---|---|
| 23 – 37 minutes | 2 units |
| 38 – 52 minutes | 3 units |
| 53 – 67 minutes | 4 units |
| 68 – 82 minutes | 5 units |
What does CPT code 97140 mean?
Manual therapy techniques
CPT® code 97140: Manual therapy techniques, 1 or more regions, each 15 minutes (Mobilization/manipulation, manual lymphatic drainage, manual traction)
What is the difference between 97110 and 97530?
If only one outcome is intended by the exercise, CPT code 97110 should be used. Where more than one outcome is expected using balance boards, fitness balls, stretch bands, etc. where increased motion, flexibility, strength and/or improved proprioception is intended, CPT code 97530 should be used.
When is the UDS report due?
Step 3: Report all in-scope patients, services, FTEs, costs, and revenues on the UDS. All health centers funded or designated in whole or in part before October 1 of the reporting year, including New Access Points (NAPs), must report on in-scope activities for the full calendar year (January 1 – December 31).
When is UDS data due?
When do I need to report? Complete and accurate reports must be submitted and ready for review by February 15th. The system will not permit changes after March 31st.
What is the IRF 60% rule?
The 60% Rule is a Medicare facility criterion that requires each IRF to discharge at least 60 percent of its patients with one of 13 qualifying conditions.
What does a PPS coordinator do?
The PPS coordinator is responsible for planning, developing and overall coordination of activities that support the Prospective Payment System (PPS) process for the inpatient rehabilitation unit.