Open Site Navigation

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 coverage

 © 2021 Judy Wilhide. All rights reserved.

2005 Edmonds Rd. Virginia Beach, VA 23451


  • Facebook
  • Twitter

Contact Judy

Message Sent!