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IPA Prep Starts With 5-Day MDS, Strong Communication System

By Caralyn Davis, Staff Writer - March 19, 2019

Under the Patient-Driven Payment Model (PDPM) in the Skilled Nursing Facility Prospective Payment System (SNF PPS), the Interim Payment Assessment (IPA, A0310B = 08) will be the only tool providers have to increase the per-diem rate once it’s set by the 5-day PPS MDS, says Scott Heichel, RN, RAC-MT, DNS-CT, QCP, CIC, director of clinical reimbursement for LeaderStat in Powell, Ohio.

 

“The optional IPA can be used any time in between the 5-day PPS assessment and the Part A PPS Discharge assessment to capture payment increases when the characteristics of the resident change to a level that it actually affects the PDPM calculation in one or more of the five case-mix-adjusted payment categories: physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), nursing, or nontherapy ancillaries (NTA),” explains Heichel.

 

To prepare to make optimal use of the IPA, nurse assessment coordinators (NACs) should consider taking the following steps: