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Session 47 | Stayin’ Alive with PDPM

Session Summary

This presentation will review upcoming skilled nursing center payment changes and the impact on reimbursement. The intent is to encourage center leaders to focus on processes to mitigate the risk of payment denials, including the importance of medical record documentation that supports the Health Insurance Prospective Payment System (HIPPS) codes derived from the MDS. The session will include the government agencies requesting additional documentation, the impact the requests may have on the center, and how to appeal a denial of payment.