Patient-Driven Payment Model (PDPM)

 

PointRight® PDPM

Reach Your PDPM Potential with Actionable Analytics

PDPM Solution
Know what you need to improve to get accurate PDPM payment Improve MDS coding to succeed with
PDPM reimbursement
Build your required compliance plan
with confidence
Join our free PDPM CEU
Education Series

What is PDPM?

PDPM is the proposed skilled nursing facility (SNF) payment system designed to promote value-based care by shifting incentives from the volume of services a patient receives to a system where payments are based on the patient’s condition and care needs. A CMS fact sheet on the final rule, effective October 1, 2019, provides more details on this new case-mix model and incentive changes.

PointRight is Here to Help You Every Step of the Way

Join PointRight’s team of Senior Health Care specialists in a series of education webinars that will help you understand what PDPM is, what it isn’t and how you can prepare your organization to support PDPM implementation. You can sign up for our live webinars below or sign up to get alerts for the full series as the webinar dates are published.
 

PointRight – Your PDPM Partner

 

  • We identify your PDPM potential and what actions you can take to achieve it
  • We have the right data at the right time to ensure actionable and relevant insights
  • We’re invested in your future through unparalleled client support and free, on-going PDPM educational webinars
  • You can leverage built-in PDPM analytics today – it’s part of your workflow

[ Download PointRight PDPM Solution Sheet ]
 

 

What Are People Saying about PointRight?

 
“PointRight’s PDPM Reimbursement Driver Analysis alerts us to pain points that must be solved as part of our transition to PDPM. PointRight ensures that we have the right analytics, support, and training to be successful with PDPM.”

Allan Swerdloff,

VP of Value Based Care & Procurement,
AristaCare

 

PDPM Education Series: Featured Session

Patient-Driven Payment Model (PDPM):
Financial Moving Parts (Session 5)

Wednesday, April 24, 2019 | 2 PM EDT
[ Register ]

This fifth session will discuss the components of PDPM and how they contribute to the overall payment rate.  We will dig into the Variable Adjustment Factor for the PT/OT and NTA components, and show examples of how the per diem rate changes over the length of the Medicare stay.  In addition, we will discuss the Interim Payment Assessment (IPA) and Interrupted Stay Policy: two aspects of PDPM that may significantly affect reimbursement.  Facility policy and care coordination processes play a role in ensuring PDPM success; we will outline opportunities for improvement and strategies for facilitating these changes in your organization.

 
Learning Objectives:

  • Describe the aspects of PDPM that affect per diem rates and overall reimbursement
  • Understand the potential impact of variable reimbursement on facility budget planning and resource allocation
  • Apply strategies for getting systems in place to mitigate financial and compliance risk

[ Register ]

 

PDPM Education Sessions:

PDPM: Recent Publications

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