Target audience: SNF interdisciplinary team members involved in managing a Medicare A census; corporate consultants and business office team members who’d like to understand the PDPM payment system
Key Results:
Become familiar with MDS items used to set component CMI rates for PDPM
Become familiar with the current CMS ICD-10CM clinical category mapping tool
Understand the role of ICD 10 coding in PDPM
Understand the PT/OT and Nursing function score and implications for payment
Learn how MDS items are used in case mix adjusted components of the PDPM per diem rate
Understand the variable per diem adjustment schedule
Understand the scheduling rules for a PPS 5 day and Interim Payment Assessment
Understand the ‘interrupted stay’ policy and how it impacts payment for SNF PPS
Discuss what PDPM components qualify for the presumption of coverage
PDPM_ Understanding Where the Money Comes From.mp4