Webinar ID: # 1025
Recorded Webinar @ All Day
Duration: 90 minutes
Description:
The Patient-Driven Payment System (PDPM) is a reimbursement model used in skilled nursing facilities (SNFs) in the United States. It focuses on patient characteristics and care needs to determine payment rates, unlike the previous system, RUG-IV, which relied heavily on therapy services. To succeed in PDPM, MDS (Minimum Data Set) assessment skills are crucial. These assessments gather data on the patient’s condition and care needs, directly impacting the PDPM reimbursement.
The MDS assessment data calculates the resident’s Patient-Driven Payment Model (PDPM) classification necessary for payment. The MDS contains extensive information on the resident’s nursing and therapy needs, ADL status, cognitive status, behavioral problems, and medical diagnoses. This information defines PDPM case-mix adjusted groups, within which a hierarchy exists that assigns case-mix weights that capture differences in the relative resources used for treating different types of residents.
PDPM adjusts payment for each significant element of a resident’s SNF care, specifically for physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), nursing, and non-therapy ancillaries (NTA). The calculation worksheet was developed to provide clinical staff with a better understanding of how PDPM works. The worksheet translates the standard software code into plain language to assist staff in understanding the logic behind the classification system.
This webinar will provide updated information and insightful tools to perform successfully and to know the PDPM reimbursement program utilizing the MDS assessment (MDS Assessors, Interdisciplinary Team Members, Biller, Medical Record Coders, Directors of Nursing, Administrators, or work in the Business Office).
Webinar Highlights:
Why Should You Attend:
The Centers for Medicare and Medicaid Services (CMS) implemented the PPS PDPM model to replace the RUG-IV reimbursement system for Skilled Nursing Facilities and is used to classify skilled patients. The webinar updates the CMS PPS PDPM model, knowing the basic intricacies of this complex system and how they impact financial stability and patient well-being.
Who Should Attend:
Name: Luke Andrews
Short Bio:Luke Andrews has led teams both large & small for a Fortune 100 company as well as the #1 real estate sales team in the state of Kentucky. In addition, Luke is a best selling author and keynote speaker who is passionate about helping people move from where they are currently in their lives to where they have always dreamed they would be. Luke is also a member of the 40 under 40 club having purchased 40 investment properties before turning 40. His courses and keynote speeches are both motivational and tactical that will leave you with concrete steps to begin moving immediately in the right direction.
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