© 2015 Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. CareTrend PRO, FIM, UDS-PRO Doc, UDS-PROi, UDSMR, and the UDSMR logo are trademarks of

Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

HL7 is a registered trademark of Health Level Seven International.

Magical Black Box: October 1, 2015, and Beyond

Tara Altenritter, OTR/L Clinical Technology and Testing Supervisor Uniform Data System for Medical Rehabilitation

Agenda • Overview of the IRF-PAI changes effective

10/1/2015 • UDS-PROi® software demonstration, highlighting

software changes specific to the new IRF-PAI form, including ICD-10 codes

• HL7® updates for 10/1/2015 • Highlight various UDSMR® software product

enhancements, including UDS-PRO Doc™ enhancements and the move toward Internet browser independence

• Q&A

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New IRF-PAI Form, Version 1.3 (Effective October 1, 2015) • All IRF-PAI data sent to CMS for patients

discharged on or after October 1, 2015, must be submitted on version 1.3 of the IRF-PAI • IRF-PAI effective 10/01/2015:

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/Downloads/IRF-PAI_for_FY2015_final.pdf

• Pages 1 and 3 have additional fields, and all ICD code fields are changing from ICD-9 to ICD-10

• Pages 2, 4, 5, 6, 7, and 8 have not changed!

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• ICD-10 codes will be required for coding fields 22 and 24

• Two additional fields (22B and 22C) added for etiologic diagnosis codes

• New yes/no field (24A) added as an indicator for compliance with arthritis codes

IRF-PAI Version 1.3: Overview of Changes, Page 1

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• ICD-10 codes will be required for coding fields 46 and 47

• Addition of therapy information section O0401, used to record totals of individual, concurrent, group, and co-treatment PT, OT, and SLP for the first two weeks of the stay

IRF-PAI Version 1.3: Overview of Changes, Page 3

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IRF-PAI: UDS-PROi® Software Changes • The following scenarios explain which form you

will see in the software when you enter cases in the case listing: • Current form (IRF-PAI effective

10/01/2014): • Case has a discharge date between

10/01/2014 and 09/30/2015 • Case has an admission date prior to

10/01/2015, and the discharge date is blank (see slide 8 for details)

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IRF-PAI: UDS-PROi® Software Changes • The following scenarios explain which form you

will see in the software when you enter cases in the case listing: • New form (IRF-PAI effective 10/01/2015):

• Case has an admission date and a discharge date on or after 10/01/2015

• Case has an admission date prior to 10/01/2015 and a discharge date on or after 10/01/2015 (see next slide for details)

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IRF-PAI: UDS-PROi® Software Changes • A case with an admission date prior to 10/01/2015

and a discharge date, entered at a later time, on or after 10/01/2015 will use the new IRF-PAI form

• A warning message in the software will inform you that the new IRF-PAI form must be used to enter case data • The message will explain that any data entered

in the fields that have been changed or deleted from the current IRF-PAI will not be carried over into the new IRF-PAI form

• Once you click the OK button to accept the message, the software will load all applicable case data for that record into the new form, after which you can continue using the new form to enter case data into the software

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IRF-PAI: UDS-PROi® Software Changes • Facility Setup module:

• Moved fields for Medicare Cost Reporting Period, Facility Fiscal Year, Facility MAC/FI and Facility Type from the Accounts Payable Contact subsection of the General Contact Information section in Facility Contacts to the PPS section of the Facility Setup module

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IRF-PAI: UDS-PROi® Software Changes • Facility Setup module:

• These fields are not required, but if you enter them, they will be used to indicate the compliance period at a case level (see next slide)

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IRF-PAI: UDS-PROi® Software Changes • Case Listing dashboard:

• Added fields Compliance-1 and Compliance-2 • Both fields will be displayed on all cases using

version 1.3 of the IRF-PAI • If the Medicare Cost Reporting Period is

entered in Facility Settings, the compliance period of the case will be highlighted in green

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New Compliance-1 and Compliance-2 fields

IRF-PAI: UDS-PROi® Software Changes • Compliance-1 indicates the presumptive

compliance status for the case based on presumptive compliance codes in use for compliance review periods beginning prior to October 1, 2015

• Compliance-2 indicates the presumptive compliance status for the case based on presumptive compliance codes in use for compliance review periods beginning on or after October 1, 2015

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IRF-PAI: UDS-PROi® Software Changes • CMS has published files containing the

presumptively compliant ICD-10 based codes related to both Compliance-1 and Compliance-2 at www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/Downloads/ICD-10-CM-DataFiles.zip

• Compliance review periods associated with different cost-reporting periods are specified in a detailed table in chapter 3, section 140.1.3 of the Medicare Claims Processing Manual at www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c03.pdf

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IRF-PAI: UDS-PROi® Software Changes • Case Listing Admission tab: new fields

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New Etiologic Diagnosis Fields

New arthritis field

IRF-PAI: UDS-PROi® Software Changes • Case Listing Admission tab: ICD-10 Suggested

Codes dialog

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IRF-PAI: UDS-PROi® Software Changes • Case Listing Admission tab: ICD-10 Code

Lookup dialog

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Select compliance period

Select tier and/or compliance criteria

Select code and any additional codes required for tier and/or compliance

IRF-PAI: UDS-PROi® Software Changes • Case Listing Admission tab: ICD-10 Advanced

Comorbid Conditions dialog

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IRF-PAI: UDS-PROi® Software Changes • Case Listing Admission tab: ICD-10 case codes

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IRF-PAI: UDS-PROi® Software Changes • Case Listing Therapy Information (new tab)

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IRF-PAI: UDS-PROi® Software Changes • Preadmission Listing dashboard and Diagnosis tab

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New etiologic diagnosis fields

New arthritis field

IRF-PAI: UDS-PROi® Software Changes • Preadmission e-mail

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IRF-PAI: UDS-PROi® Software Changes • Reports:

• On-demand, software, profile, and published reports are being updated to include new and changed data, including ICD-10 codes and compliance information

• Fourth quarter aggregation is on track for timely release

• Import/export functionality: • UDSMR will release new versions of the

comprehensive import/export specifications and the CMG export specifications

• Most of the previous exports are still supported

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UDSMR® HL7® Integration Changes • Finalizing specification updates with all facilities

that use an HL7® interface • The updates include ICD-10 codes, therapy

minutes, and all new IRF-PAI fields • Continually developing and increasing close

relationships and communication for interfacing with large EMR vendors such as Epic, Cerner, and Meditech

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UDS-PRO Doc™ System Changes • Updated preadmission module to incorporate

ICD-10 codes and new fields • Enhanced therapy documentation to track types of

therapy provided within the clinical document templates

• Enhanced all nursing documentation to incorporate required QI documentation

• Added new automatic therapy tracking log and QI tracking to the CareTrend PRO™ module to ease the burden of data collection for the IRF-PAI

• Updating diagnosis code manager to incorporate ICD-10 codes

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UDS-PRO Doc™ System Changes • New Health Record Integration Tool allows

facilities to move clinical documentation between large EMRs and the UDS-PRO Doc™ System

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Internet Browser Independence • We are currently in the process of updating our

websites and products to be browser-independent! • This means that our software will work on most of

the current browsers and devices, such as: • Internet Explorer, Safari, Firefox, Chrome • iPhone, iPad, Mac, Android, etc.

• We estimate that we will complete this project at the end of the second quarter of 2016 • Released in modules • The FIM® credentialing module is slated to be

released first

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Contacting UDSMR • Technical support department:

• techsupport@udsmr.org • 716-817-7834

• Clinical support department: • clinicalsupport@udsmr.org • 716-817-7844

• ICD-10 coding support: • ICD-10help@udsmr.org • 716-817-7898

• UDS-PRO Doc™ support: • docsupport@udsmr.org • 716-817-7834

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Q&A

Thank You!

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