Understanding the PPS Rate

Understanding how your PPS rate is constructed is a critical skill. This presentation will break apart the PPPS rate and discover ways to ensure that your team is identifying and capturing resident specific information necessary for a PPS rate that reflects the acuity of your patient population. Download course materials here. Download PDPM Rate Calculator…...

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A Tale of 2 States

Hello there Insiders! Today, we’re going to look at some of the latest data from RESDAC. We’ve just received data for quarter 4 of 2021 and want to share some observations with you. PDPM and Two States Minnesota McKnights recently published an article about skilled nursing and Minnesota. You can read it here. The short…...

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The FY 2022 SNF PPS Final Rule: Learn the Facts behind the headlines Part 2 – ICD-10 Revisions and PDPM. What’s in it for me?

Henry David Thoreau once said, “Our least deed, like the young of the land crab, makes its way to the sea of cause and effect as soon as born, and makes a drop there to eternity.” This is true of the daily choices we all make in our personal lives. It is also true of… Continue reading The FY 2022 SNF PPS Final Rule: Learn the Facts behind the headlines Part 2 – ICD-10 Revisions and PDPM. What’s in it for me?

PDPM Calculator

The PDPM Calculator helps you understand how changes in Default Clinical Category, Section GG, Speech and Language Pathology, Non-Therapy Ancillaries and Nursing Categories will change your PDPM categorization AND pay. All urban and rural areas are included.

SNF FY 2022 Proposed Rule – Learn the Facts Behind the Headlines Part 2: Don’t Forget About Your Wage Index!

Among the many required updates that CMS is mandated to make each year related to the SNF PPS rate, there is one pesky little number that often gets lost in the shuffle. That number is the wage index. The wage index is an adjustment to the SNF PPS rate that accounts for regional differences in… Continue reading SNF FY 2022 Proposed Rule – Learn the Facts Behind the Headlines Part 2: Don’t Forget About Your Wage Index!

PDPM Navigator®

PDPM Navigator is the most popular PDPM app in the country for skilled nursing! It’s rich feature set makes it ideal for a wide range of use cases. Join the tens of thousands who’ve already downloaded it for education, pre-admission estimates, IPA checks, triple-check, reference and clinical pathways.

The Power of the PDPM Primary Diagnosis

Since the inception of the PDPM, providers have grappled with the nuances of the new payment system in an effort to ensure that reimbursement accommodate the services that are provided to each resident. The challenge has been that the PDPM is nothing like the former RUG-IV system in which facilities were essentially paid for volume… Continue reading The Power of the PDPM Primary Diagnosis