-5004
Property | Specification |
Data System | IRF-PAI |
Data Specs | V4.00.0 DRAFT |
Edit Type | Consistency |
Severity | Warning |
Edit Text | Entering a dash as a response to any Quality Measure item may result in a payment reduction of two percentage points for the applicable FY annual increase factor. |
Version Notes | [V4.00.0]-Added mappings to items H0400, I0900, I2900, 25A and 26A. |
Item List | |
Item ID | Description |
25A | Height |
26A | Weight |
GG0130A1 | Self-Care (Adm Perf) - Eating |
GG0130A3 | Self-Care (Dschg Perf) - Eating |
GG0130B1 | Self-Care (Adm Perf) - Oral hygiene |
GG0130B3 | Self-Care (Dschg Perf) - Oral hygiene |
GG0130C1 | Self-Care (Adm Perf) - Toileting hygiene |
GG0130C3 | Self-Care (Dschg Perf) - Toileting hygiene |
GG0130E1 | Self-Care (Adm Perf) - Shower/bathe self |
GG0130E3 | Self-Care (Dschg Perf) - Shower/bathe self |
GG0130F1 | Self-Care (Adm Perf) - Upper Body Dressing |
GG0130F3 | Self-Care (Dschg Perf) - Upper Body Dressing |
GG0130G1 | Self-Care (Adm Perf) - Lower Body Dressing |
GG0130G3 | Self-Care (Dschg Perf) - Lower Body Dressing |
GG0130H1 | Self-Care (Adm Perf) - On/Off Footwear |
GG0130H3 | Self-Care (Dschg Perf) - On/Off Footwear |
GG0170A1 | Func Mobil (Adm Perf) - Roll left and right |
GG0170A3 | Func Mobil (Dschg Perf) - Roll left and right |
GG0170B1 | Func Mobil (Adm Perf) - Sit to lying |
GG0170B3 | Func Mobil (Dschg Perf) - Sit to lying |
GG0170C1 | Func Mobil (Adm Perf) - Lying to sit on side |
GG0170C3 | Func Mobil (Dschg Perf) - Lying to sitting on side |
GG0170D1 | Func Mobil (Adm Perf) - Sit to stand |
GG0170D3 | Func Mobil (Dschg Perf) - Sit to stand |
GG0170E1 | Func Mobil (Adm Perf) - Chair/bed-to-chair trans |
GG0170E3 | Func Mobil (Dschg Perf) - Chair/bed-to-chair trans |
GG0170F1 | Func Mobil (Adm Perf) - Toilet transfer |
GG0170F3 | Func Mobil (Dschg Perf) - Toilet transfer |
GG0170G1 | Func Mobil (Adm Perf) - Car Transfer |
GG0170G3 | Func Mobil (Dschg Perf) - Car Transfer |
GG0170I1 | Func Mobil (Adm Perf) - Walk 10 feet |
GG0170I3 | Func Mobil (Dschg Perf) - Walk 10 feet |
GG0170J1 | Func Mobil (Adm Perf) - Walk 50 feet w/2 turns |
GG0170J3 | Func Mobil (Dschg Perf) - Walk 50 feet w/2 turns |
GG0170K1 | Func Mobil (Adm Perf) - Walk 150 feet |
GG0170K3 | Func Mobil (Dschg Perf) - Walk 150 feet |
GG0170L1 | Func Mobil (Adm Perf) - Walk 10 Ft Uneven Surf |
GG0170L3 | Func Mobil (Dschg Perf) - Walk 10 Ft Uneven Surf |
GG0170M1 | Func Mobil (Adm Perf) - 1 Step (Curb) |
GG0170M3 | Func Mobil (Dschg Perf) - 1 Step (Curb) |
GG0170N1 | Func Mobil (Adm Perf) - 4 Steps |
GG0170N3 | Func Mobil (Dschg Perf) - 4 Steps |
GG0170O1 | Func Mobil (Adm Perf) - 12 Steps |
GG0170O3 | Func Mobil (Dschg Perf) - 12 Steps |
GG0170P1 | Func Mobil (Adm Perf) - Picking Up Object |
GG0170P3 | Func Mobil (Dschg Perf) - Picking Up Object |
GG0170Q1 | Does patient use wheelchair and/or scooter (Adm) |
GG0170Q3 | Does patient use wheelchair and/or scooter (Dschg) |
GG0170R1 | Func Mobil (Adm Perf) - Wheel 50 feet w/2 turns |
GG0170R3 | Func Mobil (Dschg Perf) - Wheel 50 feet w/2 turns |
GG0170RR1 | Indicate type of wheelchair or scooter (Adm) |
GG0170RR3 | Indicate type of wheelchair or scooter (Dschg) |
GG0170S1 | Func Mobil (Adm Perf) - Wheel 150 feet |
GG0170S3 | Func Mobil (Dschg Perf) - Wheel 150 feet |
GG0170SS1 | Indicate type of wheelchair or scooter (Adm) |
GG0170SS3 | Indicate type of wheelchair or scooter (Dschg) |
H0400 | Bowel continence |
I0900 | Diagnoses: Peripheral vascular disease (PVD)/PAD |
I2900 | Diagnoses: Diabetes mellitus (DM) |
J1900C | Num Falls Since Admission - Major injury |
M0300B1_2 | Number of Stage 2 pressure ulcers: Discharge |
M0300B2_2 | Nbr Disch Stg 2 PU were Adm Stg 2 PU |
M0300C1_2 | Number of Stage 3 pressure ulcers: Discharge |
M0300C2_2 | Nbr Disch Stg 3 PU were Adm Stg 3 PU |
M0300D1_2 | Number of Stage 4 pressure ulcers: Discharge |
M0300D2_2 | Nbr Disch Stg 4 PU were Adm Stg 4 PU |
M0300E1_2 | Nbr Unstg non-remov drsg prss ulcers/injrs: Dschrg |
M0300E2_2 | Nbr Unstg NRD Disch PU/Injrs present at Adm |
M0300F1_2 | Nbr Unstg slough/eschar pressure ulcers: Dschrg |
M0300F2_2 | Nbr Unstg S/E Disch PU were Adm Unstg S/E PU |
M0300G1_2 | Nbr Unstg DTI pressure injrs: Dschrg |
M0300G2_2 | Nbr Unstg DTI Disch PU/Injrs present at Adm |
N2001 | Drug Regimen Review |
N2003 | Medication Follow-up |
N2005 | Medication Intervention |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 01/23/2019 09:42:17 AM