Table 1. Standards for case-mix reimbursement in Maryland, Ohio, and West Virginia.
Maryland | Ohio | West Virginia |
---|---|---|
— | Behavioral/mental status | Behavioral/mental status |
Bathing1 | Personal hygiene2 | Personal hygiene2 |
Dressing1 | — | — |
Eating1 | Eating | Eating |
Mobility1 | Mobility | Mobility |
Incontinence1 | Incontinence/catheters | Incontinence |
— | — | Catheters |
Turning and positioning3 | — | — |
Tube feeding3 | — | — |
Decubitus care3 | Dressings and nonroutine skin care | Dressings |
— | Medications | Medications |
Single injections | Injections | Injections |
Multiple injections | — | — |
— | Appliances | Appliances |
Restraints | — | — |
— | Enemas or douches | Enemas or douches |
Suctioning/tracheostomy | Suctioning/tracheostomy | Suctioning/tracheostomy |
Oxygen/aerosol | Oxygen/aerosol therapy | Oxygen/intermittent positive pressure breathing |
Ostomy care | Colostomy, ileostomy, or ureterostomy | Colostomy, ileostomy, or ureterostomy |
Intravenous/subcutaneous | Intravenous and subcutaneous fluids | Intravenous/subcutaneous |
— | Habititation4 | — |
— | Specialized services5 | — |
— | Physical therapy5 | — |
— | Occupational therapy5 | — |
— | Speech/audiology5 | — |
— | Psychological5 | — |
Activities of daily living used to categorize patients into light, moderate, or heavy care classifications.
Includes bathing, dressing, hair care, nail care, shaving, and dental care.
Special services used to categorize patients into a heavy special care classification.
Determines the need for physical and/or psychosocial rehabilitation therapies.
Specific physical and psychosocial therapies.