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Session 44 | PDPM Under Pressure: Getting Paid is Easy, Keeping It Isn’t

Day: Wednesday, July 29
Time: 2:15 to 3:15 p.m.
Type/Topic: Finance and Reimbursement

Session Summary

While many providers have grown comfortable with Medicare Patient Driven Payment Model (PDPM), the shift toward PDPM-like methodologies in Medicaid programs across states is creating a new wave of uncertainty and financial risk. This session is designed to equip nursing center teams with practical strategies to optimize reimbursement and minimize financial risk under PDPM. Attendees will learn how to stay ahead of common pitfalls, avoid costly missteps, and confidently guide their team through securing accurate payment with the foresight to protect it.


Presenters

Mary Pannell

Clinical Reimbursement Specialist/Manager | QRM

About the Presenter

Mary Pannell is a seasoned Clinical Reimbursement Manager with nearly 30 years of experience in long-term care and Minimum Data Set (MDS) operations. Known for her results-driven approach, she brings a strong blend of clinical expertise and strategic insight to optimize reimbursement outcomes and ensure regulatory compliance. Mary began her career as a Licensed Practical Nurse (LPN), building a solid clinical foundation. She went on to earn a Master of Science in Nursing with a focus on Leadership and Nurse Education, further strengthening her ability to lead teams, develop processes, and educate staff across organizations. Throughout her career, Mary has been able to translate complex clinical and regulatory requirements into practical, actionable strategies. She is passionate about empowering teams with the knowledge and tools needed to succeed in an evolving healthcare landscape. Outside of her professional work, Mary enjoys spending time with her family, quilting, and participating in outdoor activities.