Membership: PDPM Master Class

Welcome to PDPM Master Class by Judy Wilhide Brandt. If you join, you will receive exclusive access to members-only content with weekly posts.  This is designed to provide:

• Master tips on MDS coding to accuracy reflect the complexity of your SNF resident to ensure appropriate reimbursement.

• Education on correct ICD-10 code assignment

• Exclusive articles and useful tools to learn and apply PDPM skills when reviewing medical records, conducting SNF resident assessments, and setting the PPS assessment reference date.

• From time to time, free tip sheets and free or reduced price webinars

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Ensuring Medicare Eligibility in a SNF

Starts Aug 3, 2021 at 1:00 PM EDT

$150 for live webinar with Judy Wilhide Brandt.  Learn how to know whether the resident has benefit days available and requires skilled care.  We'll also discuss the latest PHE extension and how to determine when the SNF waivers apply now.

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$150

5 Star Rating System Explainer

Objectives:
•Discuss how “Care Compare” differs from “Nursing Home Compare”

•Explain how CMS is proceeding with the 5 star rating system with the April refresh

•Examine how infection control surveys will be counted in the survey domain

•Explain how the staffing domain is calculated

•Explain how the quality domain is calculated

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$125

MDS Coding for New Beginners: Eight Part Webinar Series

Pandemic Pricing:  Normally $125 now $60.00 per webinar, for 7 with 8th webinar free.  Each section has a Knowledge Check with answer key. If questions come up about the lectures, Judy will assist.  Email:  Judy@judywilhide.com.  Put in subject line "Online Student" for priority.

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$420

PDPM Explained for SNF MDS Coordinators or others who manage a Part A Census in a SNF

Target audience:  SNF interdisciplinary team members involved in managing a Medicare A census; corporate consultants and business office team members who’d like to understand the PDPM payment system

Key Results:

• Become familiar with MDS items used to set component CMI rates for PDPM

• Become familiar with the current CMS ICD-10CM clinical category mapping tool

• Understand the role of ICD 10 coding in PDPM

• Understand the PT/OT and Nursing function score and implications for payment

• Learn how MDS items are used in case mix adjusted components of the PDPM per diem rate

• Understand the variable per diem adjustment schedule

• Understand the scheduling rules for a PPS 5 day and Interim Payment Assessment

• Understand the ‘interrupted stay’ policy and how it impacts payment for SNF PPS

• Discuss what PDPM components qualify for the presumption of coverag

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$125

How to Use an ICD-10 CM Coding Book: and Oct 20 coding guideline updates

Designed for MDS Coordinators who also assign ICD 10 CM codes for PDPM. This approximately 90 minute to 2 hour live webinar will teach an MDS coordinator how to use an ICD 10 coding manual, following all general and chapter specific guidelines. We'll use very common PDPM ICD 10 CM diagnosis codes to impart the coding rules. There will be live Q&A via chat box. Topics include: Where to find and how to use the General and Chapter Specific coding guidelines; What it means to "follow all notes and instructions." Judy, as always, developed this course and will teach it. She is a CPC and a current AHIMA approved ICD-10 trainer. She assisted in developing the AHCA/AHIMA ICD-10 Coding certification course.

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$125

SNF QRP Explainer: Avoid a 2% APU reduction this October

Basic explainer of what SNF QRP is, what you need to know, how to monitor. Judy will explain in a live webinar how the 2% penalty will be applied this October, with the pandemic exceptions. She'll also explain the QRP measures and what to do with those "review and correct" reports we're supposed to be caring about.

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125

PDPM ADRs: Getting the claims paid

Learn how to assemble a chart for a PDPM ADR to get the claim paid. While the MACs have been relatively quiet, the MA plans and RACs have not. Judy will share her successful strategies for effectively getting the chart together, & writing cover letters to guide the reviewer through rapid verification of HIPPS code and skilled level of care. She will also share how to avoid denials due to missing documentation, based on her nationwide experience in what is commonly unsupported in the clinical record.

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$125

MDS Coding for New Beginners Recorded Webinar Part 1: Introduction to the RAI Process, Section A coding, OBRA and PPS Scheduling
Target Audience: MDS Coordinators

Length:  1:24

Agenda:

• Introduce the RAI process

• Understand the importance of using the RAI Manual for MDS scheduling and coding

• Become familiar with the contents of the RAI manual

• Know resources available at QTSO.CMS.GOV

• Discuss regulatory requirements for the MDS

• Identify key items and common coding issues in Section A. Identification Information

• Delineate the Types of Assessments including: Federal OBRA Assessments, PPS Assessments, Other Medicare Required Assessments and Entry/Discharge reporting.

• Explain required time frames for assessment completion and submission.

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$60

MDS Coding for New Beginners Recorded Webinar Part 2: Sections C,D,E & Q
Target Audience: MDS Coordinators and Social Workers

Length:  1:17

Agenda:

• Discuss coding accuracy for:
  Section C: Cognitive Patterns
  Section D: Mood
  Section E: Behaviors
  Section Q: Participation in Assessment and Goal Setting

• Understand the importance of using the RAI Manual as a reference for coding these sections and conducting the interviews

• Delineate components of interview for Mental Status (BIMS) and Signs / Symptoms of Delirium

• Identify critical components of Resident Mood Interview (PHQ-9).

• Explain how to appropriately code Behaviors (Section E).

• Explain regulatory reason Section Q is on the MDS

• Discuss PDPM implications of these sections

• Discuss QM implications of these sections

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$60

MDS Coding for New Beginners Recorded Webinar Part 3: Sections B, G, & GG

Target Audience: MDS Coordinators

Length:  1:18

Agenda:

• Describe correct coding for Section B Hearing Speech and Vision

• Understand coding rules for Section G Functional Status:

• Activities of daily living (ADLs),
  Altered gait
  Balance,
  Decreased range of motion.

• Understand coding rules and unique lookback periods for Section GG Functional Abilities and Goals:
  Prior functioning and device use
  Functional Abilities and Goals

• Discuss PDPM and QM implications of these sections

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$60

MDS coding for New Beginners Part 4: Section H, I & J

Target Audience: MDS Coordinators

Length:  1:25

Agenda:

• Discuss coding accuracy for
  •Discuss coding instructions for
  •Section H:  Bowel and Bladder
  Appliances
  Toileting programs
  Bladder/Bowel Incontinence
  Constipation
  •Section I:  Active Diagnoses
  0020 for PPS Assessments
  I0100 – I8000 coding instructions
  •Section J:  Health Conditions
  Pain and Pain Interview
  Other health conditions
  Tobacco use
  Prognosis
  Problem Conditions
  Falls
  Surgical procedures

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$60