SNF PDPM
The Patient-Driven Payment Model (PDPM) was initiated by the Centers for Medicare and Medicaid Services (CMS) on October 1, 2019. This model bases skilled nursing facility (SNF) payments on resident-specific clinical characteristics and needs. This course provides an in-depth look at the various rate components, the variable rate adjustments, the assessment schedule, and other policies related to this payment system.
The Patient-Driven Payment Model (PDPM) was initiated by the Centers for Medicare and Medicaid Services (CMS) on October 1, 2019. This model bases skilled nursing facility (SNF) payments on resident-specific clinical characteristics and needs. This course provides an in-depth look at the various rate components, the variable rate adjustments, the assessment schedule, and other policies related to this payment system.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 2.50 Nursing Contact Hours after successfully completing this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 2.50 contact hours for participating in this course.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 2.50 contact hours for participating in this course.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 2.50 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
Florida Board of Nursing Home Administrators
Florida Board of Nursing Home Administrators (CEBroker Provider # 50-290)
This activity is approved for 2.50 contact hours.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
Georgia Nursing Home Administrators Board
Georgia Nursing Home Administrators Board (CEBroker Provider # 50-290)
This activity is approved for 2.50 contact hours.
Kansas State Board of Nursing
Kansas State Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
Michigan Board of Nursing
Michigan Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
Michigan Board of Nursing Home Administrators
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
North Carolina Department of Health and Human Services Division of Facility Services
This course is approved by the North Carolina Department of Health and Human Services Division of Facility Services - Group Care Licensure Section (NC-DHHS)
Program Sponsor ID #032316
This activity is approved for 2.50 contact hours.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
South Carolina Board of Long Term Health Care Administration
South Carolina Board of Long-Term Health Care Administration (CEBroker Provider #50-290)
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
Wyoming Board of Nursing
Wyoming Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.50 contact hours for participating in this course.
Describe how the PDPM HIPPS code is obtained and when to use the default code on the Medicare claim.
Identify each of the case mix components of the PDPM
Explain the interrupted stay policy.
Discuss the PDPM assessment schedule and item sets.
Outline:
Section 2: The PDPM Definitions and Components
Section 3: The Variable Per Diem Adjustment Schedule
The Variable Per Diem Adjustment Schedule
Section 4: PDPM and MDS Coding
MDS Item I0020B: PDPM Primary Diagnosis
Additional ICD-10 Diagnosis Coding on the MDS
Section 5: MDS Items J2100-J5000: Surgical History
MDS Items J2100-J5000: Surgical History
Section 6: MDS Section GG Function Scoring
MDS Section GG Function Scoring
Section 7: The PDPM Impact of MDS Section C
Section 8: The PDPM Impact of MDS Section D
Nursing Categories and Section D
Section 9: The PDPM Impact of Restorative Nursing Services
The PDPM Impact of Restorative Nursing Services
Behavioral Symptoms and Cognitive Performance
Section 10: PDPM Case Mix Groups and Case Mix Indices
PDPM Case Mix Groups and Case Mix Indices
Section 11: Add-On Payments for HIV/AIDS Condition
Add-On Payments for HIV/AIDS Condition
Section 12: The PDPM Assessment Schedule
Section 14: The Interrupted Stay Policy
Interrupted Stay Policy Examples
Section 15: The PPS Discharge MDS and Coding Therapy Services
The PPS Discharge MDS and Coding Therapy Services
Section 16: Therapy Concurrent and Group Limits
Therapy Concurrent and Group Limits
Section 17: The Medicare Part A Administrative Level of Care Presumption
The Medicare Part A Administrative Level of Care Presumption
Section 18: All About PDPM HIPPS Codes
Section 19: The PDPM Methodology: Putting It All Together
Subject Matter Expert: Kimberly Matthews, RN
The content for this course was created or revised by Kimberly Matthews, RN obtained a nursing degree from Western Kentucky University in 1998. Ms. Matthews possesses over 20 years of nursing experience with over 17 of those in the Skilled Nursing industry. Ms. Matthews has extensive experience in MDS, restorative nursing programs, and nursing management. Ms. Matthews is currently a Post-Acute Care Content writer and subject matter expert for MDS.
The target audience for this course is: Administration; Nursing Personnel; in the following settings: Skilled Nursing Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
