PDPM Part 2: Therapy Case Mix Groups

PDPM Part 2:  Therapy Case Mix Groups 

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 2 of our 6 Part PDPM Webinar series we will begin to look at each of the 5 different case mix components that determine the PDPM daily rate. In this module we discuss the PT, OT, and SLP case mix groups and demonstrate how each one is calculated based on coding of MDS items.



$15.00

Hours: 0.75
REL-PAC-0-PDPMTG

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-PDPMTG
Hours: 0.75
Type: Online Course
Content Expiration Date: 6/30/2022
Learning Objectives:
Identify how the Function Score is calculated for the PT and OT case mix groups.
List the 4 main Clinical Categories of the PT and OT case mix groups.
Identify how the SLP case mix group is calculated.

Outline:
PDPM 1:  Therapy Case Mix Groups

PDPM: Therapy Components/Groups

PT/OT Function Score

PT/OT Function Score Table

PT/OT Function Score – Example

PT/OT Key MDS Items – I0020B

PT/OT Key MDS Items – Surgical Procedures

PT/OT Clinical Categories

PT/OT Clinical Mapping

Return to Provider Codes

PT and OT CMGs

PT and OT CMS Case Study: Mr. B

Case Study: PT/OT CMGs

SLP Component – Key Items

SLP Clinical Categories

SLP Clinical Mapping

SLP – Related Comorbidities

SLP Comorbidities ICD-10-CM Mapping

SLP Cognition

Swallowing Disorder/Mech. Altered Diet

SLP CMGs

SLP Case Study:  Mrs. May

Case Study: SLP CMG

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 has also successfully completed the Infection Control Officer training through the AHCA and is 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: Acute Care Facility.
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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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.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.