Auditing Your PDPM Process
December 12, 2020Presented By: Leah Klusch, RN, BSN, FACHCA, Founder and Director of The Alliance Training Center
Date: December 10, 2020 at 1:00PM ET
The PDPM payment system for Part A Medicare claims requires significant coding, documentation and functional scoring from the MDS 3.0 data base. This session will review the changes in coding directions, items impacting payment calculations and the structure of the MDS documents. The PDPM payment system uses a large number of items of the MDS 3.0 that have not impacted payment rates in the past. This new complex payment process requires all IDT members to understand the directions, definitions, and coding instructions in the RAI manual.
The payment system utilizes a large number of MDS data items that will be the focus of this training. This session will help all operational and clinical professionals have a better understanding of the documentation required to achieve accuracy and proper payment levels. We will review the changes in coding directions, items impacting payment calculations and the structure of the MDS documents. This is a must-do session for operational and clinical professionals as well as MDS managers.
Key Webinar Learnings
- Identify the data elements that impact the PDPM rate calculation.
- Review the changes in the documentation process that must be implemented to assure data accuracy.
- Review policy and procedure content to direct the staff documentation in the medical record during the assessment reference period.
- Identify the data components for the new QRP quality measures related to functional outcomes and review the management approaches and competency activities related to documentation and data changes.
This webinar has been approved for 1 CEU for nurses and administrators