Crosswalk - Admissions

Revisions Crosswalk: IRF-PAI 2012 to Proposed IRF-PAI 2014 - Admission

April 11, 2013

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.