Crosswalk - IRF PAI 2014 Admission

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Issue #
Page #
Section
Action to be Performed
Changes to the Application
Reason for the Changes
1
1
Identification Information
Change response codes and labels; change item number from 15 to 15A. 
15A. Admit From
 (01 – Home (private home/apt., board/care, assisted living, group home; 02 Short-term General Hospital; 03 Skilled Nursing Facility (SNF); 50 Hospice; 62 Another Inpatient Rehabilitation Facility; 63 Long-Term Care Hospital (LTCH); 64 Medicaid Nursing Facility; 65 Inpatient Psychiatric Facility; 66 Critical Access Hospital; 99 Not Listed)
The codes and labels were changed to match the codes and labels on the claims and to use more current terminology. 
2
1
Identification Information
Change response options from “Use codes from 15 above” to displaying the full new list. Change item number from 16 to 16A. 
16A. Pre-hospital Living Setting
(01 – Home (private home/apt., board/care, assisted living, group home; 02 Short-term General Hospital; 03 Skilled Nursing Facility (SNF); 50 Hospice; 62 Another Inpatient Rehabilitation Facility; 63 Long-Term Care Hospital (LTCH); 64 Medicaid Nursing Facility; 65 Inpatient Psychiatric Facility; 66 Critical Access Hospital; 99 Not Listed)
Listing the codes is clearer and reinforces the use of the updated codes.
3
1
Identification Information
Delete item 18.Pre-Hospital Vocational Category and its response codes
18. DELETED
Not relevant for payment 
4
1
Identification Information
Delete item 19. Pre-Hospital Vocational Effort
19. DELETED
Not relevant for payment
5
1
Payer Information
Change response codes to 20B. Secondary Source
20. Payment Source
B. Secondary Service 
(02 Medicare -Fee For Service; 
51 Medicare- Medicare Advantage; 99 Not Listed)
Updated codes to reflect only those necessary for Medicare payment 
6
1
Medical Information
Delete Comatose
25. DELETED

This is a voluntary item that was not often reported. 
7
1
Medical Information
Delete Delirious;
26. DELETED

This is a voluntary item that was not often reported.
8
1
Medical Information
Add 25A. Height
25A. Height on admission (in inches)
Height is a covariate for the new or worsened pressure ulcer quality measure
9
1
Medical Information
Add 26A. Weight
26A. Weight on admission (in inches)
Weight is a covariate for the new or worsened pressure ulcer quality measure
10
1
Medical Information
Delete Dehydration
28. DELETED
This is a voluntary item that was not often reported.
11
2012 Page 3
Quality Indicators
Quality Indicator Section: Separated Admission and Discharge into two separate columns. 
Quality Indicator Section: Separated Admission and Discharge into two separate columns.
Admission and discharge assessment data are reported separately. 
12
2012 Page 3
Quality Indicators
Added items about Stage 1 pressure ulcers; changed numbering 
M0300A1. Number of Stage 1 pressure ulcers: enter how many were noted at the time of admission
Clinical experts recommended adding Stage 1 pressure ulcer items to allow for more detailed data collection. New numbering is consistent with numbering in other item sets.
13
2012 Page 3
Quality Indicators
Changed wording and numbering of item 48A. 
M0300B1. Number of Stage 2 pressure ulcers: enter how many were noted at the time of admission
Added instructions
14
2012 Page 3
Quality Indicators
Changed wording and numbering of item 48B. 
M0300C1. Number of Stage 3 pressure ulcers: enter how many were noted at the time of admission
Added instructions
15
2012 Page 3
Quality Indicators
Changed wording and numbering of item 48C. 
M0300D1. Number of Stage 4 pressure ulcers: enter how many were noted at the time of admission
Added instructions
16
2012 Page 3
Quality Indicators
Added items about unstageable pressure ulcers. 
M0300E1. Number of unstageable pressure ulcers due to a non-removable dressing or device: : enter how many were noted at the time of admission
Clinical experts recommended adding unstageable pressure ulcer items to allow for more detailed data collection
17
2012 Page 3
Quality Indicators
Added items about unstageable pressure ulcers. 
M0300F1. Number of unstageable pressure ulcers due to a slough and/or eschar: enter how many were noted at the time of admission   
Clinical experts recommended adding unstageable pressure ulcer items to allow for more detailed data collection
18
2012 Page 3
Quality Indicators
Added items about unstageable pressure ulcers. 
M0300G1. Number of unstageable pressure ulcers with Suspected Deep Tissue Injury in evolution: enter how many were noted at the time of admission
Clinical experts recommended adding unstageable pressure ulcer items to allow for more detailed data collection
19
N/A
Quality Indicators
Added items to collect information about pressure ulcer risk conditions. 
I0900A. Pressure Ulcer Risk Conditions- Peripheral Vascular Disease (PVD)
This item is a covariate for the pressure ulcer quality measure 
20
N/A
Quality Indicators
Added items to collect information about pressure ulcer risk conditions. 
I0900B. Pressure Ulcer Risk Conditions- Peripheral Arterial Disease (PAD)
This item is a covariate for the pressure ulcer quality measure 
21
N/A
Quality Indicators
Added items to collect information about pressure ulcer risk conditions. 
I2900A. Pressure Ulcer Risk Conditions- Diabetes Mellitus (DM)
This item is a covariate for the pressure ulcer quality measure 
22
N/A
Quality Indicators
Added items to collect information about pressure ulcer risk conditions. 
I2900B. Pressure Ulcer Risk Conditions- Diabetic Retinopathy
Provides additional information about patient severity. 
23
N/A
Quality Indicators
Added items to collect information about pressure ulcer risk conditions. 
I2900C. Pressure Ulcer Risk Conditions- Diabetic Nephropathy 
Provides additional information about patient severity. 

N/A
Quality Indicators
Added items to collect information about pressure ulcer risk conditions. 
I2900D. Pressure Ulcer Risk Conditions- Diabetic Neuropathy
Provides additional information about patient severity.