Health Information Management

Dissect documentation for psychiatric inpatients

Briefings on Coding Compliance Strategies, August 1, 2009

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Unlike acute care inpatients, hospitals get paid for psych inpatients based on per diem rates set in the in¬patient psychiatric facility’s (IPF) PPS. The IPF PPS re¬imbursement system is unique in several ways. Annual updates take effect July 1—at the start of a new rate year (RY) rather than the calendar or fiscal year. Also, facil¬ity- and patient-level adjustments apply to every patient, meaning the per diem rate changes from one person to the next.

To make sure your facility receives proper reimburse¬ment for psych inpatients, coders need a solid understand¬ing of what documentation paints the clearest clinical picture for each patient, what they should look for in each chart, and what changed in the IPF PPS from RY 2009 to RY 2010.

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