PDPM Part 3: Nursing Case Mix Groups
Certificates
American Nurses Credentialing Center
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
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
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
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
New Mexico Board of Nursing (CEBroker Provider # 50-290)
This course awards 0.75 contact hours upon successful completion.
Arkansas State Board of Nursing
Course Details
Identify how the Function Score is calculated for the Nursing case mix groups.
List the 6 main case mix group Nursing Categories for the nursing component of the PDPM.
Explain how the PHQ-9© and restorative nursing programs are used in the calculation of the nursing CMG.
Outline:
Nursing CMGs Overview
Hierarchical Method
Nursing CMG Summary
Nursing Function Score
Nursing Function Score Table
Nursing Function Score - Example
Extensive Services
Depression
Depression – Financial Impact
Special Care High
Special Care Low
Tube Feeding Requirements/Skin Treatments
Special Care Low
Clinically Complex
Restorative Nursing
Restorative Nursing – Financial Impact
Behavior Symptoms/Cognitive Performance
Reduced Physical Function
Nursing Case Study: Meet Mrs. Juneau
Nursing Case Study: Rate Difference
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). 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.
The target audience for this course is: Administrators; Nurses; in the following settings: Acute Care Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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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.
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