7 Things You Can Do Right Now to Prepare for PDPM
Master PDPM Methodology Master PDPM methodology and include all staff in job relevant PDPM subject matter trainings. Since we started PDPM training in September 2018, we have seen a trend of key departments who are being left out of the mix. This includes the Admissions teams, floor nurses, social services, medical directors, nurse practitioners, business […]
Doctors, Software, Training: Preparing for ‘Non-Negotiable’ PDPM Coding Pressures
by Skilled Nursing News Starting October 1, skilled nursing facility operators will have no choice but to become proficient with a specific type of medical coding that previously had no bearing on reimbursements — and leading industry voices say there are multiple paths to getting there. ICD-10 codes, specific diagnosis identifications long used by hospitals, […]
Early Implementation for PDPM Success
By: Cassie Murray, OTR, ,QCP, Chief Operating Officer Site-Specific PDPM Impact Individual PDPM Meetings with all partner sites: All HTS partner sites received education on PDPM along with their specific PDPM Impact Analysis. Deep Dive into Data HTS operations is diving deep into site-specific data in order to establish additional best practices and clinical pathways […]
HTS Kicks Off PDPM Education
Last September through December, HTS provided introductory trainings via a series of PDPM 2-hour live trainings for partner communities and staff. The training covered PDPM fundamentals and methodology accompanied with an action plan for success. A facility specific PDPM impact analysis was completed as a baseline resource for operational readiness. “I was privileged to be […]
Engaging Acute Care Prior to PDPM
Education on PDPM HTS is actively scheduling PDPM education for hospitals and physicians to keep valued referral sources and community partners informed on the pending change and how it will affect them and their post-acute partners. More specifically, this education will emphasize how important it is to have accurate, thorough, and timely patient information prior […]
Power Through PDPM
By: Cassie Murray, OTR, ,QCP, Chief Operating Officer It is no secret that PDPM will be a significant change for providers. HTS has successfully traversed reimbursement changes alongside our partners in the past and emerged strong. We were prepared to tackle the challenge while maintaining the highest quality of care. PDPM will be no different. […]
What Therapists Need to Know About PDPM
PDPM replaces the RUG-IV system beginning 10/1/19. The methodology for determining payment shifts from resource usage (or amount of services provided) to patient characteristics. Currently, under RUG-IV, there are 3 components: Nursing, Therapy, and Non-Case Mix. PDPM is meant to be “Budget-Neutral” and breaks the per diem payment into 6 components: Nursing, Non-Therapy Ancillary, PT, […]
CMS Issued the FY2019 SNF PPS Final Rule
As anticipated, the change to the Patient-Driven Payment Model (PDPM) was finalized to go into effect October 1, 2019 (FY 2020). CMS noted that this allows providers one year to prepare for this fundamental change from the RUG-IV case-mix model to the new PDPM methodology which is based on patient condition and care needs. Preparations will involve […]
7 Things We Know Up-front About the Patient-Driven Payment Model (PDPM)
HTS is feeling optimistic as we read the latest reimbursement model change proposed by CMS and released late afternoon on Friday, April 27th. If you haven’t had the chance to dive into RSC-1, this was gearing up to be the biggest reimbursement overhaul since PPS. The RSC-1 has now been modified and renamed to the […]