Inpatient Rehab & Psych PPS
Incorrect coding under the prospective payment system (PPS) for inpatient rehabilitation and psychiatric program can have a significant negative impact on your facility’s reimbursement. BKD Health Care Group helps hundreds of facilities nationwide bill for the payments they are entitled to. And we help our clients’ coders, PPS coordinators and physicians understand the operational, billing and coding issues related to inpatient rehab and psych PPS.Potential Benefits to You
- Improve documentation and coding accuracy
- Decrease denials
- Meet compliance percentage threshold for rehab facilities
- More accurately reflect resource utilization
- Increase cash flow with improved overall operational processes
- Improve regulatory compliance
- Make it easier to bill for your services
Our solutions for inpatient rehab and psych PPS include:
Inpatient Psychiatric Facilities
Operational Analysis
- Assess current coding process and quality of medical staff documentation
- Review inpatient charts for quality of clinical documentation related to coding
- Compare DRG assignment to medical record documentation
- Identify documentation opportunities related to diagnosis and procedure code assignment
- Review the ICD-9-CM code(s) assigned to the chart
- Review secondary diagnosis (co-morbidity) code assignments
Financial Analysis
- Assess the provider’s current financial performance as it relates to Medicare reimbursement
- Estimate the financial impact of known changes in Medicare
- Review Medicare cost report for opportunities and refinements
Inpatient Rehabilitation Facilities
Operational Analysis
- Assess staffing needs, productivity and cost effectiveness
- Assess market penetration
- Review data collection process
- Conduct benchmarking
Financial Analysis
- Review patient assessment instrument for submission timeliness and proper code assignments
- Identify documentation issues affecting CMG assignment
- Identify coding issues affecting CMG and co-morbidity tier assignments
- Train physicians, coders and PPS coordinators
- Benchmark co-morbidity tier and case mix index
- Confirm compliance with 75% rule
For More Information
Contact your BKD advisor or:Ann King
BKD Health Care Group Leader
800.581.4290
