Health Information Management

Dissect documentation for psychiatric inpatients

HIM-HIPAA Insider, August 25, 2009

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Unlike acute care inpatients, CMS pays hospitals for psych inpatients based on per diem rates set in the inpatient psychiatric facility’s (IPF) PPS. The IPF PPS reimbursement 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, facility- and patient-level adjustments apply to every patient, meaning the per diem rate changes from one person to the next.

To ensure your facility receives proper reimbursement for psych inpatients, coders need a solid understanding of what documentation paints the clearest clinical picture for each patient, what to for in each chart, and what changed in the IPF PPS for RY 2010.

For more information about documentation in the IPF setting and to purchase a copy of this article for $10, visit the HCPro Web site. Subscribers to Briefings on Coding Compliance Strategies have access to this article in the August issue.



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