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Apply concepts from the home health prospective payment system (HHPPS). a. Determine a health insurance prospective payment system (HIPPS) code for the HHPPS using key

Apply concepts from the home health prospective payment system (HHPPS). a. Determine a health insurance prospective payment system (HIPPS) code for the HHPPS using key data and information in table 8.29 in the textbook. Key data: Third episode, 16 therapy visits Moderate scores in clinical, functional, and service dimensions Supply severity level 4 What is the HIPPS code based on these data? b. For HHAs delivering services in 2015 to patients in Abilene, TX and Anchorage, AK, create an Excel spreadsheet to calculate the payment for the HIPPS code you determined in 4.a. Both submit quality data. Use the following data: NRS amount, the HIPPS weight, the national 60-day episode rate (with quality data), labor-related portion, and the nonlabor-related portion from tables 8.28, 8.30, and 8.31 in the textbook. Wage index for CBSA 10180 (Abilene, TX) = 0.7440 Wage index for CBSA 11260 (Anchorage, AK) = 1.2419 c. Review your calculations in the spreadsheet. What is a cause of the difference in the payments between the two agencies? d. Review your results. If the two HHAs did not submit quality data, what would be the general effect on their payments?

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