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Hi everybody So I drew the short straw today and not only do I have to follow John I also get to follow lunch So I just want to excite you guys just a little with two interesting pieces of information Number one in case you have only been paying attention to PDP for the past few hours I wanted you to know that the Royal baby has named His name is Archie Harrison Okay yeah whatever The second interesting piece of information is that today is Harry Truman's birthday And if you think this doesn't apply to unit actually does Harry Truman and his wife Bess were the firsthand second Medicare cardholders And Medicare was actually signed in to law at the Harry Truman Library which is about 20 minutes from here in Independence Missouri A and few of us from CMS actually went thereto days ago, and it was an amazing library We saw the desk that Medicare was signed into law with And if you are nerds like we are then you should really check it out if you have any time while you're still here So now you have no excuse but to be awake since I gave you those two fascinating pieces of information Laughter All right So you've all seen the acronyms We're just going to skip through them If you need anything they're still in your folder The objectives of the program this afternoon's to apply the knowledge acquired during the 2-day training to accurately code a clinical resident scenario And you're also going to calculate the appropriateHIPPS code under the Patient Driven Payment Model So let's meet Mrs S She's a 78-year-oldfemale admitted to the acute care hospital on November 3 with respiratory distress and right hip pain following a fall Her admission diagnoses were right proximal femoral fracture and exacerbation of CHF Her past medical history includes hypertension CHF COPD and depression Mrs S underwent a total hip arthroplasty November 4 to repair her femoral fracture She required post-operative diuresis and supplemental oxygen due to CHF During her hospitalization Mrs S developed stage 4 pressure ulcer on her coccyx Her post-operative status stabilized but given her medical conditions and continued need for pressure ulcer care occupational and physical therapy for rehab and monitoring of respiratory status Mrs S was transferred to the SNF on December 1 So there's additional information in the Restudy narrative that you all have in your folder or on the tables What we would like you to do now is take about25-30 -- I think we're actually going to give you 30 minutes to read through the Case Study and to enter your responses on the Case Study Coding Sheet To help you calculate Mrs S' HIPS codes you have on your table several PDP Calculation Worksheets and a HIPS Code Information Sheet Please share these at your table, and you can work in groups You will use the Case Study narrative to code subset of admission and discharge information You will then use that information to work through PDP Calculation Worksheets and finally to arrive at the HIPS code for Mrs S...
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