Harnessing Technology as the Key to Accurate PDPM Coding

Tuesday, July 16, 2019
1PM ET/ 12PM CT

Under the Patient-Driven Payment model, sections of the Minimum Data Set (MDS) will heavily weight the case-mix components and provider reimbursement.  Section GG, for example, will have a substantial impact on the final CMI calculation for the physical therapy, occupational therapy, and nursing case mix components of the final PDPM rate. MDS completion must not only be accurate, but must also reflect the documentation in the medical record, be coded according to RAI specifications, and paint a picture of the resident’s medical and functional status.  
 
Join us to learn how MDS coding will affect reimbursement at the provider level. Daily facility processes and strategies for streamlining data collection with this new reimbursement model will be discussed. Additionally, the role of technology and smart software in facilitating accurate coding will be explored.
 
As a result of this presentation the participant will be able to:
  • Illustrate how the variables of cognition, function, and depression will affect payment and compliance at a facility/provider level
  • Describe an organizational framework for preparing for PDPM and list facility practices for redesign under PDPM
  • Explain the relationship between medical record documentation and accurate MDS coding
  • Acknowledge the role of technology in the timely and accurate completion of the MDS as it relates to clinical care planning and provider reimbursement
Under the Patient-Driven Payment model, sections of the Minimum Data Set (MDS) will heavily weight the case-mix components and provider reimbursement.  Section GG, for example, will have a substantial impact on the final CMI calculation for the physical therapy, occupational therapy, and nursing case mix components of the final PDPM rate. MDS completion must not only be accurate, but must also reflect the documentation in the medical record, be coded according to RAI specifications, and paint a picture of the resident’s medical and functional status.  
 
Presenter
Mike Capstick, PT
Executive Vice President and Co-Founder
Select Rehabilitation
View Biography
Presenter
Dr. Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP
Education Director
Select Rehabilitation
View Biography

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