Asked by: Danielle Azzaro
asked in category: General Last Updated: 28th March, 2020

What is a HHRG code?

HHRG. Home health resource group Medicare A case-mix classification in which Pt characteristics and health status information are obtained from an OASIS assessment in conjunction with projected therapy use during a 60-day episode are used to determine Medicare reimbursement.

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People also ask, what is an HHRG?

HHRG—Home Health Resource Group (pronounced 'Herg'). Also known as the case mix score, it is determined by answering certain OASIS data items in the clinical severity, functional status and service utilization domains.

One may also ask, how are hipps codes generated? Answer: HIPPS is a Medicare acronym for Health Insurance Prospective Payment System (HIPPS). A HIPPS code is generated after an OASIS assessment is completed. The HIPPS code determines the prospective payment for the episode.

Similarly, you may ask, what are CMS codes?

Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare & Medicaid Services (CMS) maintain POS codes used throughout the health care industry.

What is the default hipps code?

Billing the default code, which will be ZZZZZ under PDPM, is the equivalent of billing (1) the TP payment group for PT and OT, (2) the SA payment group for SLP, and (3) the NF payment group for NTA because these groups represent the lowest possible per-diem rates.

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