Integrated Support to Help You Thrive Under the Patient-Driven Payment Model (PDPM)
You want to train your team, reduce risk, and have a winning PDPM strategy so you can collect the reimbursement you earned by improving accuracy and streamlining processes. Our integrated approach features high-level support, including training, assessments, and analytics from our team of experienced clinicians.
Support & Tailored Training
Ultimately, we know reputation is everything. That’s why we’ve carefully built our reputation as a national leader in clinical and reimbursement expertise. Our accessible, responsive professionals offer facilitated peer group calls for monthly PDPM support.
PDPM affects every functional role. Our training courses are designed to provide your organization with sound practices and guidance.
Our PDPM education is broken into sections and will include case studies to assist with participant application.
Section I: PDPM Overview & Reimbursement Impact
- Review of the framework and structure of the PDPM reimbursement system
- Review of case mix components of rates and MDS items that will affect rates
- Identify operational systems and processes affected by PDPM
Section II: ICD-10 Coding for PDPM
- Discuss the structure and framework of ICD-10 coding and coding resources
- Review of diagnosis coding and the effect on payment levels under PDPM
- Case studies and identification of coding for common skilled nursing facility diagnoses
Section III: MDS Section GG Coding for PDPM
- Review of Section GG measures used in PDPM classification
- Discuss how to develop an assessment process to reflect the resident’s usual performance in the first three days of the Medicare admission
- Discuss how coding Section GG now will support a more accurate analysis of the potential financial impact of PDPM on the facility’s Medicare revenue
PDPM Assessments
Our skilled clinicians can perform a PDPM implementation assessment and evaluate your rehab utilization, function scores, setting of assessment reference dates, and other key metrics that affect reimbursement. At the conclusion of the assessment, they would have an exit conference with management and clinical personnel to provide recommendations and best practices.
Receive Your PDPM Clinical Tools & Checklists
Our PDPM suite of resources houses tools and checklists to assist you and your organization. You will receive resources like our SLP At-A-Glance, Nursing At-A-Glance, NTA At-A-Glance, Request for Information from Referral Source, IDT Checklist, COVID Documentation Guidelines, and so much more. Get access now!
