Description
Description
This session offers a foundational understanding of reimbursement systems in skilled nursing facilities, including Medicare Part A PDPM, Medicaid Case Mix, and Managed Care and alternate payment models. Participants will learn how reimbursement is calculated, and what operational strategies for accurate and timely reimbursement. The course also provides an in-depth look at the methodology and philosophy behind the Patient Driven Payment Model (PDPM), including variable per diem adjustments and case-mix adjusted components.
Learning Objectives:
- Explain how Medicare PDPM, Medicaid Case Mix, and Managed Care reimbursement systems function in SNFs.
- Identify the case-mix components under PDPM.
- Apply strategies to align clinical and billing processes for optimal, compliant reimbursement.
Webinar recorded July 2025
