Knowledge Base Article #1305:

CarePortal - CLINICAL: There is no HIPPS / HHRG code or HHRG amount for an assessment

There is no HIPPS / HHRG code or HHRG amount for an assessment

Most likely, you answered M0825 as "N/A" -- M0825 must either be "YES" or "NO" in order to generate an HHRG / HIPPS code per the OASIS specifications indicated below

Consistency Required

1. If M0100_ASSMT_REASON=01, 03, 04, or 05 and M0825_THERAPY_NEED=00 or 01, then HIPPS_CODE cannot be blank and must contain a valid code.

2. If M0100_ASSMT_REASON=01, 03, 04, or 05 and M0825_THERAPY_NEED=NA, then HIPPS_CODE must be blank.

3. If HIPPS_CODE is not blank, then HIPPS_VERSION must not be blank and must match the appropriate HIPPS version code.

4. If M0100_ASSMT_REASON=01, 03, 04, or 05 and M0825_THERAPY_NEED=00 or 01, and HIPPS_CODE is not blank, then the state system will recalculate the HIPPS_CODE and HIPPS_VERSION and compare the recalculated values with the submitted fields. If the submitted fields do not match the recalculated values, a warning will be issued.

Keywords: careportal, OASIS, M0825, HHRG, HIPPS
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