On October 1, 2019 CMS shook up the skilled nursing world when they changed the payment methodology from the Resource Utilization Group, Version IV(RUG-IV) to the Patient Driven Payment Model (PDPM). This model places more emphasis on the characteristics of the resident and not the volume of therapy provided.
The PDPM model groups SNF residents into case-mix grouping based on diagnosis/PCS procedures when performed of approved non-orthopedic or orthopedic procedures.
The PDPM model is diagnosis/procedure driven and this increases the importance of accurate ICD-10-CM diagnoses coding and the ability to select the correct PCS procedure code when applicable.
This audio seminar will focus on the major changes taking place.
Our objectives for this seminar are:
- Clinical make-up of the PDPM Model
- ICD-10-CM to clinical Categories
- Case-Mix model
- MDS changes
December 14, 2019
CEU: 1.5 – Clinical Data Management
Mary Gregory, RHIT, CCS, CDIP, CRC, CPC, CCS-P, CPC
Mary is a graduate of Central Piedmont College with over 20 years in the medical coding and billing field. Mary has presented workshops/training for NCHIMA, AAPC local chapters, Veteran Hospital. Mary’s mantra is: Coders Get Paid to Think and with that in mind she conducts her workshops/training to help coders to develop critical thinking skills.