LIVE WEBINAR: Righting the ship: How to succeed under new CMS rules

The Patient-Driven Payment Model (PDPM) transformed how SNFs provide, track, and code patient care. Then the pandemic required facilities to pivot under the new structure, creating additional challenges. With PDPM rate recalibrations paused for FY22, operators now have time to right the ship and meet the latest rules from the Center for Medicare & Medicaid Services.

To be successful under PDPM, facilities must tie care, quality and reimbursement to outcomes, much like a pay-for-performance model. Key to this approach is knowing and understanding current trends on both a patient and facility basis – and appropriately coding them for assessment and reimbursement purposes. SNFs will need to go beyond just MDS data to assess detailed clinical and financial analytics to improve patient care and return on investment.

Learning Objectives

• Understand the impact of key clinical drivers on PDPM, including diagnoses, therapies and PDPM item categories
• Identify and correct missed coding errors, particularly ICD-10 and Section GG scoring
• Determine how and when facilities should document IPAs and modifications

Speaker

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

This session is part of the McKnight’s Fall Online Expo.