Home Health ICD-9/ICD-10 Alert

Nonroutine Medical Supplies (NRS):

Case-Mix Adjustment Variables and Point Scores

This table, formerly Table 10A of the final PPS rules (CMS-1541-FC), shows how nonroutine supply (NRS) categories and OASIS-C items combine to generate NRS points, says Trish Twombly, BSN, RN, HCS-D, CHCE, COS-C director of coding with Foundation Management Services in Denton, Texas. CMS revised this table in November 2009, so that it corresponds with the OASIS-C items. There were no changes made to the number of points. These changes were made as part of CMS's case-mix grouper update (http://www.cms.gov/HomeHealthPPS/05_CaseMixGrouperSoftware.asp).

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