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Intellicure Facility Acuity Scoring Tool
Download iFAST
Tool (PDF)
Source Document for iFAST (XLS)
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About
Development of the Intellicure Facility Acuity Scoring Tool ™ (iFAST) began
after the Centers for Medicare and Medicaid Services (CMS formerly HCFA) released
the Medicare Prospective Payment System for Hospital Outpatient Departments in the
Federal Register on April 7, 2000. On pages 18450 – 18451, CMS instructed the use
of 31 CPT codes to reflect the work performed by hospital outpatient departments.
They elaborated with the following:
- “We realize that while these
HCPCS codes appropriately represent different levels of physician effort, they do
not adequately describe non-physician resources. However, in the same way that each
HCPCS code represents a different degree of physician effort, the same concept can
be applied to each code in terms of the differences in resource utilization. Therefore,
each facility should develop a system for mapping the provided services or combination
of services furnished to the different levels of effort represented by the codes.”
What would the ideal system look
like? Methods which accurately assess work should result in a Normal distribution
of charges with level three as the most frequent. In response to the HOPPS notification,
Intellicure, Inc. began developing a patient acuity system and work based scoring
system in 2000 which would automatically calculate the facility’s level of service
according to these rules. The Intellicure EMR provided for automatic calculation
of the work score.
Components of an Acuity Scoring System:
- Resource Utilization
- Assessments
- Interventions
Ground Rules for Using Intellicure
FAST™ without the Intellicure EMR:
- The acuity scores generated will
represent the normal population.
- Work performed in the facility
which has an assigned procedure code, shall be documented by that procedure code,
and not the Intellicure FAST system.
- Substitutions in general category
sections may be permissible. Contact Intellicure with your specific request so that
we may provide you with the appropriate point score for a particular change. This
is necessary to maintain the validity of the scoring system.
- The validated scoring system
shall not be changed by the facility.
- The facility must register their
adoption and or usage of the tool with Intellicure so that the facility can be notified
of changes as they are published.
- The Intellicure copyright shall
remain on the visibly printed document.
Call 800.603.7896 to learn
more.
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