by Proactive LTC Consulting | Jul 15, 2020 | Blog, PDPM, Physicians
Working together for the best clinical outcomes and for reimbursement accuracy requires good systems for communication – both verbally and in our documentation. The fundamental expectations for documentation to support skilled level of care, medical necessity, and... by PMR Team | Nov 12, 2019 | CMS, MDS, PDPM
Driving PDPM Operations: Selecting the Primary Diagnosis Under PDPM, the diagnosis coded on the 5-day/Initial Minimum Data Set (MDS) in section I0020B (primary reason for skilled stay) largely determines reimbursement for the entire Medicare stay, unless an Interim... by PMR Team | Oct 1, 2019 | MDS, Medicare, PDPM, Reimbursement, SNF
IPA is an optional SNF PPS stand-alone MDS item set under PDPM The Interim Payment Assessment (IPA) is an optional SNF PPS stand-alone MDS item set under PDPM. The IPA can be completed when providers determine that the resident has experienced changes to his or her... by PMR Team | Aug 21, 2019 | Hospitals, Medicare, PDPM, Physicians, Reimbursement, SNF
Factors Impacting Reimbursement Become More Complex Under PDPM, the factors impacting reimbursement become more complex. Supportive documentation should reflect this complexity through descriptions of the relevant care and services impacting each of the five payment...