Patient Driven Payment Model PDPM

Patient Driven Payment Model PDPM

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The Centers for Medicare and Medicaid Services (CMS) published the Prospective Payment System (PPS) and Consolidated Billing for Skilled Nursing Facilities (SNF) Final Rule for Fiscal Year (FY) 2019.

In this rule, CMS finalized a proposal to replace the current SNF PPS Resource Utilization Group (RUGs) payment model with a new per-diem payment system called the Patient-Driven Payment Model (PDPM) beginning on October 1, 2019

PDPM Training Intensive Training for SNF is vital for Medicare A management, compliance & reimbursement.


  • Learning Outcomes:
    • PDPM Intensive & Overview
    • Breakdown of the old RUGs system for better understanding of the new payment model PDPM
    • Identify the PDPM case mix components
    • Describe the role of the Interdisciplinary team in relation to quality of care and maximizing reimbursement
    • IPA Strategy for Maximizing Med A reimbursement
    • Mapping ICD-10 For MDS 3.0
    • Detailed Section GG Review
    • Questions & Answer sessions

RECOMMENDED ATTENDEES: All SNF Interdisciplinary Team Member involved in MDS (MDS Nurses, Staff Nurses, Social Services, DONs, Dietary, Admissions, Activity, Restorative Nurses, Administrators, all members involved in assessment and care planning).

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Education & Training

  • Component Characteristics

    PDPM Update

    Intensive Training I & II

    PDPM Basics &
    Detailed Review

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    ICD-10 for PDPM Training

    ICD-10 & MDS 3.0

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    Section GG  for Reimbursement Training

    Section GG & Disbursement

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    Education and Training

    PDPM Update Intensive Training 

    This interactive Training provides an introductory overview of the new Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS) payment model that will be implemented on October, 1, 2019 (Fiscal Year 2020). This training is designed for clinicians newer to SNF reimbursement & seeking a step by step breakdown of the old reimbursement to make it easier to learn the new system.
    This Training is great for all SNF Team members including MDS, DONs, Rehab, Social Service, Admissions, Restorative Nurse, ect

    ICD-10 for PDPM Training

    This interactive training provides an overview of ICD-10 coding for PDPM in the Skilled Nursing Facility Prospective Payment System (SNF PPS) payment model that will be implemented on October, 1, 2019 (Fiscal Year 2020).

    Section GG  for Reimbursement Training  


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