CMS has finalized a new case-mix classification model called the Patient Driven Payment Model (PDPM), which will be effective beginning October 1, 2019 for classifying SNF patients in a covered Part A stay. This new PPS payment system will be a significant change from the RUGs IV system that is effective until September 30, 2019.
This course will review details for each of the five case-mix adjusted components, and will also review the new MDS assessment requirements, the limitations and requirements for delivery modes of therapy, and other significant points of what to expect under this new payment system.
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- Why the change from RUGs?
- Five case-mix adjusted components
- Overview of The PT/OT Component
- 4 Collapsed Clinical Categories for PT/OT
- The PT & OT Functional Score
- Variable CMI PT/OT
- Overview of The SLP Component
- Twelve SLP Comorbidities
- PDPM Cognitive Scoring
- SLP Component: Payment Groups
- Overview of The Non-Therapy Ancillary (NTA) Component
- Conditions & Extensive Services for NTA Classification
- Variable Per Diem Adjustment for NTA
- Overview of The Nursing Component
- Nursing Component Function Score Construction
- Case studies
- MDS Assessments
- Interrupted Stay Policy
- Delivery Modes of Therapy with PDPM
- What CMS Will Monitor
Course Goals & Objectives:
This course is intended to instruct Long Term Care staff will be able to effectively document and track their Part A patients under the new PDPM system.
- Identify the criteria for patient classification with the 5 components of Patient Driven Payment Model (PDPM)
- List the key factors for costs predictive of the OT/PT components of PDPM
- List the five SLP components of PDPM, to include the required documentation supporting the presence of each component
- Identify the determination factors for classifying a resident into a Non-Therapy Ancillary (NTA) case‐mix group
- Recognize the key changes to MDS Assessments, when comparing RUG-IV to PDPM
- Recognize the changes to group & concurrent therapy, as noted from RUGs-IV to PDPM
- Identify the expected factors that CMS will be monitoring, following the initiation of PDPM on 10/1/2019
"Seminar-On-Demand" course are streamed on your web browser if the online version if purchased. Our SODs are optimized for the most current versions of Safari, Google Chrome or Mozilla Firefox. A current version of Adobe Flashplayer is also required when viewing on a desktop or laptop computer. All SOD courses are mobile ready.
Contact Hours: 2 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
Target Audience: Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapist Assistant, Speech Language Pathologist, Nurses, Nursing Home Administrator
Instructional Level: Intermediate
Criteria for Completion: Criteria for Completion: A score of 70% or more is considered passing. Scores of less than 70% indicate a failure to understand the material and the test will need to be taken again until a passing score has been achieved
This course is offered for 0.20 ASHA CEUs (Intermediate level, Related area).
Financial – Lisa Milliken is employed by Select Rehabilitation and receives a salary. She receives payment from HomeCEU for the presentation of this course.
Nonfinancial - no relevant nonfinancial relationship exists.
Content Disclosure: This course does not focus solely on any specific product or service