Is the resident ATOP2 eligible?

Last updated 4 years ago First published 17 March, 2017

Health English Rating: ALL ages Shortest path: 3 nodes Longest path: 13 nodes Possible solutions: 10
Transcription
  • Was the diagnosis confirmed? Yes. No.
  • Facility may not bill. Only practitioner may bill for assessment performed. .
  • Was treatment started when the CIC was noted? No. Yes.
  • Bill for duration beginning first day treatment was administered/day CIC was noted. .
  • Bill for duration beginning on day treatment was administered, despite CIC notation date. .
  • Does the resident meet ATOP2 diagnostic criteria for one of the six conditions? Yes. No.
  • Does not qualify for ATOP2 payment..
  • Has a CIC been noted in patient's chart? No. Yes.
  • Note CIC. .
  • Has an assessment been done by the end of the second day after CIC was noted? No. Yes.
  • Was the diagnosis confirmed? No. Yes.
  • Facility may not bill. Only practitioner may bill for assessment performed. .
  • Was treatment started when the CIC was noted? No. Yes.
  • Bill for duration beginning first day treatment was administered/day CIC was noted. .
  • Bill for duration beginning on day treatment was administered, despite CIC notation date. .
  • Can an assessment be done now? Yes. No.
  • Not a billable event..
  • Has treatment been administered prior to assessment? No. Yes.
  • Is diagnosis confirmed? No. Yes.
  • Not a billable event. .
  • Billable event: Begin billing day of confirmation for up to 5 or 7 day duration..
  • Is diagnosis confirmed? Yes. No.
  • Not a billable event for facility. Only practitioner may bill. .
  • Billable event: billing for 5 or 7 day period may begin now or predate two days for treatment administered. .
  • Can an assessment be done now? No. Yes.
  • Not a billable event..
  • Has treatment been administered prior to assessment? Yes. No.
  • Is diagnosis confirmed? Yes. No.
  • Not a billable event. .
  • Billable event: Begin billing day of confirmation for up to 5 or 7 day duration..
  • Is diagnosis confirmed? Yes. No.
  • Not a billable event for facility. Only practitioner may bill. .
  • Billable event: billing for 5 or 7 day period may begin now or predate two days for treatment administered. .