Considerations and Strategies for Implementing a Model PDPM Program

Considerations and Strategies for Implementing a Model PDPM Program

Considerations and Strategies for Implementing a Model PDPM Program

Considerations and Strategies for Implementing a Model PDPM Program

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The Patient Driven Payment Model (PDPM) is a new case-mix classification system for classifying skilled nursing facility (SNF) patients in a Medicare Part A covered stay into payment groups under the SNF Prospective Payment System. The new PDPM aims to reduce the administrative burden on the provider and is designed to incentivize treating the needs of the patient by decreasing the focus on the volume of services the patient receives and refocusing on sound clinical practices. This course will discuss the shift from RUG-IV to PDPM, the PDPM methodology, patient payment components, and standardized assessment items. Learners will also be given insight on how to prepare for the PDPM shift, including key implementation strategies.

COURSE INFORMATION

30 minValid for 12 monthsCreated 2019-08-02Updated 2019-08-02

Course Objectives

  • Define the Patient Driven Payment Model (PDPM) and explain its six components
  • Understand important reasons for the shift from RUG-IV to PDPM
  • Identify PDPM characteristics, classifications, and clinical categories
  • Know how to prepare for the PDPM shift and understand the consequences of not preparing for the change from RUG IV to PDPM reimbursement
  • Recall the significance of ICD-10 Diagnosis Coding
  • Execute a preparation plan for PDPM

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