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.
What does an IRF Pai coordinator do?
The IRF PAI Coordinator is responsible for completing the Inpatient Rehabilitation Facility Assessment Instrument (IRF-PAI) in the UDS program. The position monitors the timely and accurate completion of admission and discharge FIM scores.
What is IRF PPS?
The IRF PPS will utilize information from a patient assessment instrument (IRF PAI) to classify patients into distinct groups based on clinical characteristics and expected resource needs. Separate payments are calculated for each group, including the application of case and facility level adjustments.
What is PPS in rehab?
A Prospective Payment System (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount.
How is CMG determined?
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.
What is the difference between FFS and PPS?
Compared to fee-for-service plans, which reward the provider for the volume of care provided and can create an incentive for unnecessary treatment, the PPS payment is based on multiple factors including service location and patient diagnosis.
What is CMG in coding?
The Case Mix Groups+ (CMG+) methodology is designed to aggregate acute care inpatients with similar clinical and resource-utilization characteristics. The CMG+ methodology was introduced in 2007 and was designed to take advantage of the increased clinical specificity of ICD-10-CA and CCI.
What is CMG in medical billing?
A case mix group (CMG) is used in patient classification system to group together patients with similar characteristics. This provides a basis for describing the types of patients a hospital or other health care provider treats (its case mix).
How many comorbidity codes can be used on the patient assessment tool to assign a CMG?
The major change with draft version of CMG 2.70, from the current version CMG 2.60, is to accommodate the expansion of the comorbidities (Item 24 on the IRF-PAI) from a maximum of 10 ICD-9 codes to a maximum of 25 ICD-9 codes.
How many CMGs are there?
Currently, there are 95 CMGs with four tiers and five other CMGs that account for very short stays and patients who die in the IRF. Each year, CMS updates the CMG relative weights and average lengths of stays (ALOS) with the most recent available data.
What is a resource intensity weight?
Definition: Resource Intensity Weights (RIW™) are the relative case weights for CMGs™ used to measure the intensity of resource use (relative cost) associated with different diagnostic, surgical procedure and demographic characteristics of an individual.
What is meant by resource intensity?
Resource intensity is a measure of the resources (e.g. materials, energy and water) required for the provision of a unit of a good or service. It is usually expressed as a ratio of materials used to value (expressed, for example, in money, mass, volume).
How can resource intensity be reduced?
Reduce total water consumption. Reduce total energy purchased. Reduce use of petroleum-based fuel. Purchase alternative fuel vehicles.
How much of one resource is used per unit of the other?
Resource intensity is a measure of the resources (e.g. water, energy, materials) needed for the production, processing and disposal of a unit of good or service, or for the completion of a process or activity; it is therefore a measure of the efficiency of resource use.
What are the 5 types of resources?
What are the 5 types of resources?
- Natural resources.
- Human resources.
- Environmental resources.
- Mineral resources.
- Water resources.
- Vegetation resources.
What are the 4 types of resources?
There are four categories of resources, or factors of production:
- Natural resources (land)
- Labor (human capital)
- Capital (machinery, factories, equipment)
- Entrepreneurship.
Why are resources being depleted?
There are several types of resource depletion, the most known being: Aquifer depletion, deforestation, mining for fossil fuels and minerals, pollution or contamination of resources, slash-and-burn agricultural practices, soil erosion, and overconsumption, excessive or unnecessary use of resources.
Which natural resources are fast exhausting?
The six natural resources most drained by our 7 billion people
- Water. Freshwater only makes 2.5% of the total volume of the world’s water, which is about 35 million km3. …
- Oil. The fear of reaching peak oil continues to haunt the oil industry. …
- Natural gas. …
- Phosphorus. …
- Coal. …
- Rare earth elements.
Is a resource which never depletes?
Answer: Natural resources are those resources that are in existence without human actions and they can either be renewable or non-renewable.
What is the most important environmental issue?
Global Warming
Of all the current environmental issues in the U.S., global warming may be the most notable because its effects are so far-reaching.
What are the 5 major environmental problems 2020?
Some of the key issues are:
- Pollution. …
- Global warming. …
- Overpopulation. …
- Waste disposal. …
- Ocean acidification. …
- Loss of biodiversity. …
- Deforestation. …
- Ozone layer depletion.
What are the 5 major environmental problems explain?
Ozone Depletion, Greenhouse Effect and Global Warming 2. Desertification 3. Deforestation 4. Loss of Biodiversity 5.
What are the five major causes of environmental problems?
Explanation:
- Energy production.
- Deforestation.
- Mining.
- Over population.
- Increase in global average temperature.
What are the causes of dirty environment?
Here are five common causes of an unhealthy home and how you can change things for the better.
- Smoking and Secondhand Smoke. …
- Radon. …
- Lack of Operational Smoke Alarms. …
- Moisture and Mold. …
- Pesticide Use.
What are the 3 main categories of environmental problems?
The list of issues surrounding our environment go on, but there are three major ones that affect the majority of them overall: global warming and climate change; water pollution and ocean acidification; and loss of biodiversity.