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Patient Driven Payment Model – PDPM Training

Patient-Driven Payment Model (PDPM) Resource Center

PDPM has replaced the RUG-IV per-diem SNF PPS Payment System on October 1, 2019
On July 31, 2018, the Centers for Medicare and Medicaid Services (CMS) published the Prospective Payment System (PPS) and Consolidated Billing for Skilled Nursing Facilities (SNF) Final Rule for Fiscal Year (FY) 2019.
In this rule, CMS finalized a proposal to replace the current SNF PPS Resource Utilization Group (RUGs) payment model with a new per-diem payment system called the Patient-Driven Payment Model (PDPM) beginning on October 1, 2019.

Education & Training

Component Characteristics

PDPM Update

Intensive Training I & II

PDPM Basics & Detailed Review

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ICD-10 for PDPM Training

ICD-10 & MDS 3.0

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Section GG  for Reimbursement Training

Section GG & Disbursement

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PDPM Resources

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Payment System: Key Elements to Understand

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Education and Training

PDPM Update Intensive Training – May 14 & 21, 2020 7:00-8:30pm cst 

Learn More This interactive Training provides an introductory overview of the new Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS) payment model that will be implemented on October, 1, 2019 (Fiscal Year 2020). This training is designed for clinicians newer to SNF reimbursement & seeking a step by step breakdown of the old reimbursement to make it easier to learn the new system.
This Training is great for all SNF Team members including MDS, DONs, Rehab, Social Service, Admissions, Restorative Nurse, ect

ICD-10 for PDPM TrainingMarch 28, 2020 7:00-8:30 pm cst

Learn More This interactive training provides an overview of ICD-10 coding for PDPM in the Skilled Nursing Facility Prospective Payment System (SNF PPS) payment model that will be implemented on October, 1, 2019 (Fiscal Year 2020).

ICD-10 Manual for SNFs

Order Here Price: 169.00 (2020 version will be available Sept 2019) View Table of Contents and sample pages (PDF)

The ICD-10-CM Expert for SNF, IRF and LTCH comes with Optum’s hallmark features and format to help make the challenge of accurate diagnosis coding easier. Use the code book that contains the complete ICD-10-CM code set and the familiar Optum360 coding and reimbursement alerts for SNF and IRF including: color-coding and symbols identifying diagnoses.

Section GG  for Reimbursement Training  June 4, 2020 7:00-8:30 pm cst

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