IPA - Interim Payment
53 values shown.
A0050 · Type of RecordxappliesOpen item
A0100 · Facility Provider NumbersxappliesOpen item
A0200 · Type of ProviderxappliesOpen item
A0310 · Type of AssessmentxappliesOpen item
A0410 · Unit Certification or Licensure DesignationxappliesOpen item
A0500 · Legal Name of ResidentxappliesOpen item
A0600 · Social Security and Medicare NumbersxappliesOpen item
A0700 · Medicaid NumberxappliesOpen item
A0810 · SexxappliesOpen item
A0900 · Birth DatexappliesOpen item
A1005 · EthnicityxappliesOpen item
A1010 · RacexappliesOpen item
A1110 · LanguagexappliesOpen item
A1200 · Marital StatusxappliesOpen item
A1300 · Optional Resident ItemsxappliesOpen item
A2300 · Assessment Reference DatexappliesOpen item
A2400 · Medicare StayxappliesOpen item
B0100 · ComatosexappliesOpen item
B0700 · Makes Self UnderstoodxappliesOpen item
C0100 · Should Brief Interview for Mental Status Be Conducted?xappliesOpen item
C0200 · Repetition of Three WordsxappliesOpen item
C0300 · Temporal Orientation (Orientation to Year, Month,xappliesOpen item
C0400 · RecallxappliesOpen item
C0500 · BIMS Summary ScorexappliesOpen item
C0600 · Should the Staff Assessment for Mental Status Be Conducted?xappliesOpen item
C0700 · Short-term Memory OKxappliesOpen item
C1000 · Cognitive Skills for Daily Decision MakingxappliesOpen item
D0100 · Should Resident Mood Interview Be Conducted?xappliesOpen item
D0160 · Total Severity ScorexappliesOpen item
D0600 · Total Severity ScorexappliesOpen item
E0100 · Potential Indicators of PsychosisxappliesOpen item
E0200 · Behavioral Symptom—Presence & FrequencyxappliesOpen item
E0800 · Rejection of Care—Presence & FrequencyxappliesOpen item
E0900 · Wandering—Presence & FrequencyxappliesOpen item
GG0130 · Self-Care and GG0170: Mobility subsection addedxappliesOpen item
H0100 · AppliancesxappliesOpen item
H0200 · Urinary Toileting ProgramxappliesOpen item
H0500 · Bowel Toileting ProgramxappliesOpen item
I0020 · Indicate the resident’s primary medical condition categoryxappliesOpen item
J1100 · Shortness of Breath (dyspnea)xappliesOpen item
J1550 · Problem ConditionsxappliesOpen item
J2100 · Recent Surgery Requiring Active SNF CarexappliesOpen item
K0100 · Swallowing DisorderxappliesOpen item
K0300 · Weight LossxappliesOpen item
M0210 · Unhealed Pressure Ulcers/InjuriesxappliesOpen item
M1030 · Number of Venous and Arterial UlcersxappliesOpen item
M1040 · Other Ulcers, Wounds and Skin ProblemsxappliesOpen item
M1200 · Skin and Ulcer/Injury TreatmentsxappliesOpen item
N0350 · InsulinxappliesOpen item
O0500 · Restorative Nursing ProgramsxappliesOpen item
X1100 · RN Assessment Coordinator Attestation of Completion-not submitted to iQIESOpen item
Z0100 · Medicare Part A BillingxappliesOpen item
Z0400 · Signatures of Persons Completing the Assessment or Entry/Death Reporting-not submitted to iQIESOpen item