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The Patient Driven Payment Model (PDPM): 131 Days to Implementation – Are You Ready? (Recorded Webinar)

presented by Ellen R. Strunk, PT, MS, GCS, ACEEAA, CHC, RAC-CT

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Disclosure Statement:

Financial: Ellen Strunk receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.


 Non-Financial: Ellen Strunk has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:

This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from standard MedBridge courses. In less than six months, the Centers for Medicare and Medicaid Services (CMS) will implement the Patient-Driven Payment Model (PDPM), which will replace the Skilled Nursing Facility's (SNF) Resource Utilization Groups (RUGs) payment system. The system will fundamentally change how care in a SNF is delivered. Rather than a focus on the volume and type of services delivered, the new model will focus on the characteristics of each patient admitted. Financial success will depend on the integration of systems for patient assessment and appropriate care delivery.

Meet Your Instructor

Ellen R. Strunk, PT, MS, GCS, ACEEAA, CHC, RAC-CT

Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC, RAC-CT, has worked in various roles and settings as both a clinician and a manager/director. Ellen is an expert at helping customers understand the CMS prospective payment systems in the skilled nursing facility and home health settings, as well as outpatient therapy billing for all provider types.…

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Chapters & Learning Objectives

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1. Translate the CMS Proposed Rule into Practice

The Patient Driven Payment Model (PDPM) is scheduled to be implemented on October 1, 2019. The Centers for Medicare and Medicaid Services’ (CMS) proposed rule for Skilled Nursing Facilities offers the final glimpse into changes (if any) CMS has for the model. This chapter will describe the relevant changes to the system and other proposals from the CMS.

2. Compare the Resource Variations Between RUGs and PDPM

The Patient Driven Payment Model (PDPM) significantly changes how SNFs will be paid. The RUG’s model considered the type of services delivered, while the PDPM model is based on patient characteristics. A patient case will be presented in order to illustrate the considerations required for care planning.

3. Apply Interprofessional Care Principles to a Case Scenario

Members of the interprofessional team play a key role in a facility’s successful transition to the PDPM. On a broader level, however, the interprofessional team is critical to a facility’s performance in quality programs, survey success and customer satisfaction. Using the case scenario, attendees will understand the relevance of staff competency and collaboration to achieve success across all these programs.

4. Develop Action Steps to Ensure Alignment with CMS Compliance Areas

The PDPM represents a significant change for SNF providers. With changes in payment come changes in risk. The CMS has been transparent in telling providers what they will be monitoring. This chapter will focus on these areas of risk and what providers to consider as they review their quality assurance and compliance programs.

5. Question & Answer Session

In this portion, Ellen answers questions submitted by learners attending the live webinar.

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