PDPM Explained for SNF MDS Coordinators or others who manage a Part A Census in a SNF
Recorded Live 05/06/2020
1hr 40 min
$125.00
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:
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•Become familiar with MDS items used to set component CMI rates for PDPM
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•Become familiar with the current CMS ICD-10CM clinical category mapping tool
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•Understand the role of ICD 10 coding in PDPM
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•Understand the PT/OT and Nursing function score and implications for payment
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•Learn how MDS items are used in case mix adjusted components of the PDPM per diem rate
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•Understand the variable per diem adjustment schedule
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•Understand the scheduling rules for a PPS 5 day and Interim Payment Assessment
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•Understand the ‘interrupted stay’ policy and how it impacts payment for SNF PPS
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•Discuss what PDPM components qualify for the presumption of coverage
New Beginners: Eight Part Recorded Webinar Series:
Pandemic Pricing: Normally $125 now $60.00 per webinar, for 7 with 8th webinar free.
New Beginners: Eight Part Recorded Webinar Series:
Pandemic Pricing: Normally $125 now $60.00 per webinar, for 7 with 8th webinar free.
Part 1: Introduction to the RAI Process, Section A coding, OBRA and PPS Scheduling
Target Audience: MDS Coordinators
Length: 1:24
Agenda:
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Introduce the RAI process
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Understand the importance of using the RAI Manual for MDS scheduling and coding
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Become familiar with the contents of the RAI manual
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Know resources available at QTSO.CMS.GOV
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Discuss regulatory requirements for the MDS
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Identify key items and common coding issues in Section A. Identification Information
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Delineate the Types of Assessments including: Federal OBRA Assessments, PPS Assessments, Other Medicare Required Assessments and Entry/Discharge reporting.
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Explain required time frames for assessment completion and submission.
Part 2: Sections C,D,E & Q
Target Audience: MDS Coordinators and Social Workers
Length: 1:17
Agenda:
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Discuss coding accuracy for:
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Section C: Cognitive Patterns
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Section D: Mood
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Section E: Behaviors
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Section Q: Participation in Assessment and Goal Setting
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Understand the importance of using the RAI Manual as a reference for coding these sections and conducting the interviews
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Delineate components of interview for Mental Status (BIMS) and Signs / Symptoms of Delirium
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Identify critical components of Resident Mood Interview (PHQ-9).
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Explain how to appropriately code Behaviors (Section E).
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Explain regulatory reason Section Q is on the MDS
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Discuss PDPM implications of these sections
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Discuss QM implications of these sections
Part 3: : Sections B, G, & GG:
Target Audience: MDS Coordinators
Length: 1:18
Agenda:
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Describe correct coding for Section B Hearing Speech and Vision
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Understand coding rules for Section G Functional Status:
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Activities of daily living (ADLs),
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Altered gait
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Balance,
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Decreased range of motion.
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Understand coding rules and unique lookback periods for Section GG Functional Abilities and Goals:
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Prior functioning and device use
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Functional Abilities and Goals
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Discuss PDPM and QM implications of these sections
Part 4: Section H, I & J
Target Audience: MDS Coordinators
Length: 1:25
Agenda:
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Discuss coding accuracy for
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•Discuss coding instructions for
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•Section H: Bowel and Bladder
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Appliances
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Toileting programs
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Bladder/Bowel Incontinence
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Constipation
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•Section I: Active Diagnoses
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0020 for PPS Assessments
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I0100 – I8000 coding instructions
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•Section J: Health Conditions
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Pain and Pain Interview
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Other health conditions
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Tobacco use
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Prognosis
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Problem Conditions
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Falls
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Surgical procedures
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Part 5: Section F, K & L
Target Audience: MDS Coordinators, Activities & Dietary
Length: 1:02
Agenda:
Identify Coding Instructions for:
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Section F: Preferences for Customary Routine and Activities
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Explain required interview techniques and rules
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Discuss staff assessment of preferences
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Section K: Nutritional Approaches
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Signs and symptoms of possible swallowing problem: Accurate coding
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PDPM implications
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Height and weight, loss and gain:
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Understanding the lookback periods
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Rules for “MD prescribed”
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Weight loss implication for PDPM & QM
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Nutritional approaches
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Accurate coding for ”While” and “While Not” a resident
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When IV fluids can be coded and when they count for PDPM
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Feeding tube implications for PDPM
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Mechanically altered diet: Definition and PDPM implications
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Therapeutic diet accurate coding
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Calculating percent intake by artificial route, ‘while a resident’ and ‘during entire 7 days’ PDPM implications
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Section L: Oral/Dental Status
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Accurate coding
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Part 6: Section M & N
Target Audience: MDS Coordinators, Wound Nurses
Length: 1:05
Agenda:
Identify Correct Coding for:
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Section M: Skin Conditions
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Risk of Pressure ulcers
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Unhealed pressure ulcers/injuries
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Present on admission
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Venous/Arterial Ulcers
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Other Ulcers, wounds and skin problems
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Skin and ulcer/injury treatments
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PDPM and QM implications of Section M
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Section N: Medications
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Injections
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Insulin
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Medications Received
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Antipsychotic Medication Review
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Drug Regimen review
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PDPM and QM Implications
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Part 7: Section O & P
Target Audience: MDS Coordinators
Length: 1:04
Agenda:
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Discuss proper coding for
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Section 0: Special Treatments, Procedures and Programs
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O0100: Special treatments, procedures and programs
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O0250: Influenza vaccine
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O0300: Pneumococcal vaccine
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O0400: Therapies
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O0420: Distinct calendar days of therapy
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O0425: Part A Therapies (Part A Discharge)
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O0500: Restorative Programs
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O0600: Physician Examinations
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O0700: Physician Orders
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Section P: Restraints and Alarms
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P0100: Physical Restraints
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P0200: Alarms
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Part 8: Section V, Z and Care Area Assessments (CAA)
Target Audience: MDS Coordinators, IDT participating in the CAA process
Length: 46:00
Price: Free bonus webinar
Agenda:
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Identify the 20 Care Assessment Areas and the triggering process.
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Describe the Care Assessment Area review process and documentation requirements.
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Explain coding instructions and timing requirements for Section V0200: Care Area Assessment Summary
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Discuss Coding for Section Z:
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Z0100: Medicare Part A Billing
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Z0200: State Medicaid Billing
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Z0250: Alternate State Medicaid Billing
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Z0300: Insurance Billing
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Z0400: Signature of Persons Completing the Assessment or Entry/Death Reporting
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Z0500: Signature of RN Assessment Coordinator VerifyingAssessment Completion
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Virtual RAC-CT classes taught by Judy Wilhide Brandt
Virtual Classes held Tue-Thu over two weeks, 4 hours daily. Two hours instruction, 15 minute break, then 1.75 hours instruction daily
Feb 9-12
12noon-6pm EST
Register
Apr 6-9
12pm-6 pm EST
Register
Increase your knowledge of clinical assessment and care planning, completion of the MDS, the regulations surrounding the RAI/MDS process, and managing the PDPM by attending a six-day AANAC Resident Assessment Coordinator-Certified (RAC-CT®) certification virtual workshop. Having the RAC-CT credential behind your name shows you are a knowledgeable and capable MDS professional. RAC-CT certification is the nationally recognized gold-standard in resident assessment in the long-term care nursing profession. By earning this credential, individuals have shown their expertise in skilled nursing facility prospective payment system and minimum data set (MDS 3.0) assessment.
Courses Include:
MDS Coding for OBRA and PPS, parts 1 and 2
OBRA Timing and Scheduling
Care Area Assessments
Introduction to Medicare Part A
Care Planning
Accurately Assessing Functional Status
Five-Star Quality Rating System
Quality Measures
Managing PDPM in the SNF
This workshop qualifies for 22.5 CEU's
Workshop Pricing
AANAC Member Pricing $600.00
Non Member pricing $800.00