Webinar - Team MDS Series: PDPM Precision (Part 2)2/24/202612:30pm
Presented By:
- Christine Twombly, RN-BC, RAC-MT, RAC-MTA, HCRM, CHC
Contact Person:
Proactive Medical Review and Consulting [email protected]
Course Description:
This PDPM-focused session will provide an in-depth review of the Nursing and NTA components impact on reimbursement and explore how clinical documentation, diagnosis coding and assessment accuracy impact reimbursement. This session will also discuss the process of calculating the payment rate and identifying opportunities for Interim Payment Assessment (IPA). Attendees will learn how to align clinical practices with reimbursement drivers to ensure accurate, optimal reimbursement while maintaining compliance,
Learning Objectives
- Identify key drivers of the nursing and NTA components under PDPM
- Understand how clinical documentation impacts reimbursement
- Recognize how and when to initiate an IPA to capture changes in acuity
Course Content
- 20 min: PDPM nursing component deep dive
- 20 min: NTA component breakdown
- 15 min: Pulling it all together Rate Calculation and IPA determination
- 5 min: Closing comments and Q&A
Target Audience: MDS/RAI Coordinators, Nurse Leaders
Instructional Level: Beginner/Intermediate
Program Length: 1 hour
List Learning Objectives: What participants will gain from attending this session:
Content: Bullet-point list of information covered to meet learning objective:
1. Identify Key Drivers of the Nursing Component under PDPM
- Overview of PDPM structure
- Describe the qualifiers for each of the nursing case-mix group in PDPM
- Detail the nursing CMG classification logic
- Discuss clinical conditions and services that impact the nursing CMG
- Interactive Case review: Assign Nursing CMG for sample patient
2. NTA component Breakdown
- Describe the NTA component under PDPM
- Review NTA comorbidities and the point system
- Discuss high impact diagnoses and services
- Review documentation strategies to support NTA scoring
- Interactive Case review: Identify NTA point for sample resident
3. Pulling it All Together: Rate Calculation & IPA Determination
- Discuss how the Five PDPM components combine to determine the payment rate
- Discuss when and why to conduct an IPA
- Review triggers for an IPA including changes to clinical condition
- Aligning clinical practices and assessment scheduling with optimal reimbursement
- Interactive case review: To IPA or not