Monthly Calendar

Description: The Arizona Health Care Association is pleased to host the AHCA Quality Forum on Minimum Data Set (MDS), Patient Driven Payment Model (PDPM) and ICD-10. This Quality Forum will provide an in-depth review of the Patient Driven Payment Model (PDPM) with focus on MDS coding accuracy and ICD.10 coding for SNF Part A reimbursement. Participants will deepen understanding of the logistics of the model and become better prepared to promote and ensure MDS and ICD.10 coding efficiency, overcome common obstacles and reduce missed opportunities in Medicare reimbursement. Recent trends, risk areas and future updates expected will be discussed with extensive use of case studies and references to key sources. Emphasis of this session will be understanding the payment model, systems and best practices to promote quality assessments and interdisciplinary team operations with strategies to ensure payment accuracy and supportive documentation compliance.

Agenda

9:00 am    Welcome & Introductions            

                   Review of Components and Calculation Logistics of the Patient Driven Payment Model    

10:30am    Break

10:45am     Review of Case Studies Identifying MDS Coding and Documentation Risk Areas Identified by                            Auditors

                    RAI/MDS Supportive Documentation Requirements               

12:00 pm    Lunch

12:45 pm     ICD-10 CM Coding Relative to PDPM Reimbursement

                     Review of Best Practices for Diagnosis Coding in the SNF Setting

2:00 pm       Recommendations for Operational, Training and Systems Updates for PDPM Success

                      Considerations for Ongoing Auditing and Monitoring Activities

                       Overview of Recent and Expected Updates to PDPM

3:30 pm         Program Wrap-Up