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Session 20 | Clinical and Operational Review of PDPM: Pioneering Excellence through MDS Accuracy

Session Summary

With providers well into the Patient Driven Payment Model (PDPM), it might be time for a temperature check. Skilled nursing centers have learned there are significant changes in how we ensure accurate payment under PDPM, but how are they doing? How providers are faring depends largely on how they integrated this reimbursement change into the operational system and, particularly, their MDS coding. When auditing MDS Assessments, it is surprising how many errors are found. In this session, presenters will talk about what they have learned so far. This session will review some of the potential pitfalls related to PDPM. Key focus areas for providers will be addressed, including auditing for areas of risk, quality assurance initiatives, using the facility assessment to identify care strengths and weaknesses, analyzing marketplace dynamics, CMS initiatives relative to alternative payment models and leveraging technology solutions to ensure success.