![]() This requires (1) clarity on the resident’s baseline status for each component reported on the 5-day assessment and (2) systems in place to monitor for any changes that may impact PDPM classification for at least one the five PDPM components. May not be combined with any other assessments (PPS or OBRA).įacilities need to have strong processes in place to promptly identify changes that may impact the PDPM case-mix group classifications.The ARD for an IPA may not precede that of the 5-Day assessment.Must be submitted electronically and accepted into the QIES ASAP system within 14 days after completion (item Z0500B) (completion + 14 days).Authorizes payment for remainder of the PPS stay, beginning on the ARD.Must be completed (item Z0500B) within 14 days after the ARD (ARD + 14 days).ARD (item A2300) may be set for any day of the SNF PPS stay, beyond the ARD of the 5-Day assessment.In Chapter 2 of CMS’s RAI Version 3.0 manual (Version 1.17.1), CMS offers the following information regarding IPA scheduling and completion: The rate calculated from the IPA pays for all covered Medicare Part A days from the ARD of the IPA until the Part A discharge, or until another optional IPA is completed. It is the only PPS assessment, beyond the Initial PPS assessment, that will be able to change a resident’s Medicare rate. ![]() The IPA can be completed when providers determine that the resident has experienced changes to his or her clinical condition that would be sufficient to change payment in any of the five PDPM components or in the overall payment for the resident. The Interim Payment Assessment (IPA) is an optional SNF PPS stand-alone MDS item set under PDPM. IPA is an optional SNF PPS stand-alone MDS item set under PDPM
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