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NP Auditor
2008
The NP Auditor is a fast, efficient and economical tool for use
by home health agency management for validating case-mix scores and working
with field clinicians responsible for completing OASIS
assessments. With the introduction of a more complex PPS case-mix, home
health agencies have found that hand calculation of case weights is
no longer a simple task. Therefore, the National Association for Home
Care & Hospice
(NAHC) has partnered with the developers of the Home
Health PPS Auditor 2008 to help agencies leapfrog over manual case-mix
and payment calculations by introducing a simple new software program
that will do those calculations for them. This program can be used to
determine episode Home Health Resource Groups (HHRG), Health Insurance
Prospective Payment Codes (HIPPS), and payment amounts in a matter of
minutes. Use of this tool, over manual calculations, results in tremendous
time savings for agency personnel.
NP Auditor SUMMARY SHEET
Built using CMS pseudocodes and PPS tables, this program will not only provide
information to home visiting staff and managers about the payment level for the
responses scored on OASIS, but can also be used to demonstrate the financial
consequences of incorrect OASIS scoring. The program offers rolling calculations
of HIPPs, HHRG, and payment amounts in real-time as each of the clinical, functional,
and service utilization case-mix items is recorded. In order to calculate HRRGs,
HIPPS, and payment amounts, agency clinicians need only enter the OASIS case-mix
items into the program. Simply correct an OASIS response and the impact of new
responses will be seen immediately.
The output page of the software program exactly
parallels Table 2A (Case-Mix Adjustment and Variable Scores) in the Federal
Register notice for the PPS final rule. The program was built in accord
with CMS grouper specifications.
It is important to note that the auditor is not to be used to plan care
or to adjust the OASIS inputs to secure higher payments. Rather,
the purpose of the tool is to provide a view of the PPS case-mix based
on clinicians’ responses to the OASIS items and compare it to the
PPS case-mix if the OASIS assessment items were answered in accord with
CMS instructions.
NP Auditor Resources
| How
to User's Manuals |
Link |
| NP Auditor
How To Doc |
 |
| HIPPS-HHRG-POINTS
Map |
|
| Grouping
Steps (C1F1S1) |
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| NP Auditor Files |
Link |
| NP AuditorTool |
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| NP Auditor
PowerPoint |
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| CMS
Resources |
Link |
| HIPPS
CHART |
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| HIPPS
Codes Weighted |
|
| Problem
with Grouper 12-18-2007 |
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| PSEU0202
TABLES |
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| CMS
1541fc |
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| Training
Videos |
Link |
| NP Auditor |
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| Webinars |
Link |
| Registration
( more to come ) |
|
| Webinar
Recording |
Link |
Please
note that these recordings a very large
so
please be patient when downloading. |
| How
To View Webinar Recording |
|
| NP
Auditor |
|
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