NTA hits hardest in the first 72 hours
Today we’re talking about the NTA component of PDPM—and how to get paid fairly for complex care.
NTA stands for Non-Therapy Ancillary. It includes conditions like:
– IV meds
– Severe infections
– Complex wounds
– Cystic fibrosis
– Ventilator use
More NTA points = higher reimbursement. In fact – in the first 3 days of a Medicare Part A stay, NTA is paid at 300% of the base rate.
Plus, CMI multipliers can be drastically different based on the NTA Case-Mix group.
* A high scoring NB-group patient could have a CMI of 2.53
* While an NE-group patient only has a CMI of .96
So how do you make sure you’re being reimbursed correctly with so many factors at play?
Here’s 3 steps to make sure you’re ready for any patient:
✅ Collect full records from doctors and dietitians within the ARD window
✅ Create a simple checklist for high-value NTA flags
✅ Use a tool like Hopforce to preview rates and adjust codes in seconds
P.S.: Want to see how fast it can be? Here’s how we do it in < 60s: https://www.linkedin.com/feed/update/urn:li:activity:7328124263503179777
