Advanced Search

Home Health & Hospice Week

Prospective Payment System:

Learn PPS Ropes To Get The Supply Points You Deserve

Published on Fri Feb 11, 2011

Make sure you're getting your rightful NRS reimbursement. Nonroutine medical supplies can earn valuable case mix points, which means more reimbursement for your agency. But how these points are calculated isn't always straightforward. Get the background on the seven NRS diagnosis categories to make sure you are securing the payment your agency is due. Know These NRS Reimbursement Building Blocks Your agency is eligible for nonroutine supply (NRS) reimbursement based on OASIS responses, even if you don't actually provide the supplies specific to the diagnosis, says coding expert Trish Twombly with Foundation Management Services in Denton, Texas. How it works: NRS points are calculated based on OASIS responses and coding, not on the type of or quantity of supplies provided, says Lisa Selman-Holman with Selman-Holman & Associates and CoDR -- Coding Done Right in Denton, Texas. If supplies are not provided, the HIPPS code you report ends in a number. If [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All