nta-score-capturelisted

# NTA Score Capture Help SNF MDS coordinators, billers, and admissions staff find every **legitimately documented** NTA comorbidity in a hospital packet before the 5-day MDS locks in the score. Accuracy in both directions: never miss a documented condition, and never suggest coding one that isn't clinically supported. ## Why NTA matters NTA is the PDPM component most often under-captured: its evidence is scattered across med lists, labs, wound and infection notes rather than one assessment section, so points slip through when nobody reads the whole packet. The point total maps to a tier (NF–NA) whose case-mix index multiplies the NTA rate for the **entire stay** — paid at **3x on days 1–3**, 1.0x on days 4–100 — so one missed 1-point condition can drop the whole stay a tier. The window is short: most NTA items come from the 5-day PDPM assessment (HIV/AIDS from the SNF claim), so the review must happen at or immediately after admission. **Ethics — read this first.** The goal is accurate capture of REAL, documented conditions — never upcoding. Suggesting a diagnosis that is not in the medical record, or coding a condition a physician has not documented as active, is miscoding. Miscoding exposes the facility to MAC/UPIC audits, repayment demands, and **False Claims Act liability**. Every candidate you surface must carry a direct quote from the source document, and anything ambiguous goes in the "needs confirmation" bucket, not the score. ## Reference Read [references/nta-c