PDPM Part 1: Laying the Foundation

PDPM Part 1: Laying the Foundation 

On October 1, 2019 CMS will implement the Patient Driven Payment Method (PDPM), a new payment system for Skilled Nursing Facility (SNF) providers.  The new payment system significantly changes how SNF Per Diem rates for Medicare beneficiaries in a Medicare Part A stay will be determined.  SNF providers need to have a solid understanding of this new system prior to October 1! 

In Part 1 of our 6 Part PDPM Webinar series we will provide an overview of the PDPM system to lay the foundation for the details provided in parts 2 – 6.



$15.00

Hours: 0.75
REL-PAC-0-PDPMLF

Certificates

Certificates provided by accrediting body (6 Match)

American Nurses Credentialing Center

0.75 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 0.75 contact hours for participating in this course.

District of Columbia Board of Nursing

0.7 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 0.70 contact hours for participating in this course.

Georgia Board of Nursing

0.75 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 0.75 contact hours for participating in this course.

South Carolina Board of Nursing

0.75 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

New Mexico Board of Nursing

0.75 HOURS


New Mexico Board of Nursing (CEBroker Provider # 50-290)

This course awards 0.75 contact hours upon successful completion.

Arkansas State Board of Nursing

0.75 HOURS


Course Details

Course Code: REL-PAC-0-PDPMLF
Hours: 0.75
Type: Online Course
Content Expiration Date: 6/30/2020
Learning Objectives:
Identify the 6 major components of a PDPM daily rate.
Identify the 3 PDPM components subject to the variable rate adjustment.
Describe how each PDPM component will be used to calculate a daily rate.

Outline:

PDPM 1:  Laying the Foundation

Patient Driven Payment Method (PDPM)

RUG-IV vs PDPM Components

PDPM Components Summary

PDPM Components – Sneak Peak

Other PDPM Related Changes

Other PDPM Related Changes

Other PDPM Related Changes

PDPM Math!

Variable Payment Adjustments

PT/OT Variable Payment Adjustments

PDP Component Base Rates

Case Study: Mr. B

Case Study: NTA Rate Adjustment First 3 Days

Case Study: PT/OT Rate Adjustment

Skilled Coverage

Presumption of Coverage

Major Focus Shift

References

Resources

Course Contributor


Instructor: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer
Ronald Orth, RN, CMAC, CHC  obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Post -acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron is also an AHIMA approved ICD-10-CM trainer. Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Administrators; Nurses; in the following settings: Post-Acute Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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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.
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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.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.