Medicare A -PDPM Concepts – Nursing Component
This interactive training provides an introductory overview of the new Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS) payment model – Nursing Component.
The training is designed for clinicians interested in a detailed breakdown of the management of the Nursing Component for Medicare A Residents.
Intended Audience:
This training is great for all SNF Team members including MDS Nurses, DONs, ADON, Rehab, Social Service, Admissions, Restorative Nurse, Nurse Managers, Business Office, Nurse Practitioners ect
Learning Objectives:
- Intro to PDPM Concepts
- Dissecting the Nursing Components Hierarchy
- The Pre-Post Admission process
- Documentation requirements
Self Paced Modules – 2 Module Video Course
- Designed for busy clinicians unable to meet scheduling requirements
- Recorded course in same format as live sessions
- Allow 24-48 hours for email access to learning platform
- Hard copy of books and materials shipped to personal address or facility (please specify if shipping to facility)
- Up to 30 days to complete program requirements (May complete when all requirements are met)
Cost: $199.00
REGISTER HERE
Figure 2. PDPM Component and Patient Characteristics Used for Case-Mix Group (CMG) Assignment
| Component | Patient Characteristics |
Per Diem Structure |
# of Case Mix Groups |
|---|---|---|---|
| PT | – Primary reason for SNF Care ICD-10 – Functional Status – MDS Section GG Early and Late Loss |
Payment Decreases After Day 20 |
16 |
| OT | – Primary reason for SNF Care ICD-10 – Functional Status – MDS Section GG Early and Late Loss |
Payment Decreases After Day 20 |
16 |
| SLP | – Primary Reason for SNF care ICD-10 – Cognitive Status – Presence of swallowing disorder or mechanically altered diet – Other SLP related comorbidities |
Average Daily Payment No Variable Payment |
12 |
| Nursing | – Clinical information from SNF Stay – Functional Status – MDS Section GG Early and Late Loss – Extensive Services Received – Presence of depression – Restorative nursing services received |
Average Daily Payment No Variable Payment |
25 |
| NTAS | – Comorbidities present – Extensive services used |
Payment Decreases After Day 3 |
6 |
While considerable analysis is needed to understand how SNFs may optimally deliver quality care under PDPM, five key elements of the payment system are critical to understand when considering preparations for the transition from RUGs to PDPM. See Figure 3., below.
Figure 3. PDPM is a New Medicare Part A Fee-For-Service Payment System: Key Elements to Understand
