LIVE SESSION: The Vital Role Interim Payment Assessments (IPAs) Have on PDPM Success

As skilled nursing facilities (SNFs) navigate the Patient-Driven Payment Model (PDPM), many facilities are still trying to understand the role that Interim Payment Assessments (IPA) play in PDPM reimbursement.  Under the final rule, providers are only required to perform two Prospective Payment System (PPS) assessments: on day 5 and upon discharge. However, the Centers for Medicare & Medicaid Services (CMS) states that an “IPA is optional and will be completed when providers determine that the patient has undergone a clinical change that would require a new PPS assessment.” Which leads to question, are IPAs really optional? And, how and when should facilities be documenting IPAs?

Learning Objectives

• Gain a full understanding of what an IPA is and when/if one should be done
• Explore the financial benefits IPAs have on a facility’s bottom-line
• Establish clinical criteria for triggering IPAs to avoid potential audits of abuse

Speaker:  Jim Shearon, RN, BSN, MHSA, Vice President Clinical Solutions, Real Time Medical Systems

This session is presented as part of Nebraska Health Care Association’s 2021 Fall Conference.