Patient-Driven Payment Model (PDPM) Resource Center

Change is coming on October 1, 2019. What are you doing to prepare?

What is PDPM?

There’s a new payment model coming this year for skilled nursing facilities (SNFs), and it will require a completely new way of calculating reimbursements. With the model taking effect on October 1, 2019, skilled nursing facilities will need to prepare now for a new case-mix model that focuses on clinically relevant factors rather than volume-based services.

From helping your staff members understand the shift in mindset to accurately calculating reimbursements rates for your facility, Cantata Health’s NetSolutions platform has the expertise to guide our clients through the upcoming changes.

To ensure accurate payments, skilled nursing facilities need a solution that can:

Reduce risk and ensure accuracy

Increased compliance with clinical decision support tools. 

Gain visibility into data and population

Configurable snapshot views and reporting based on your desired area of focus.

Alleviate administrative burdens

Access to ICD-10 libraries and daily reimbursement rates.

Enable staff to work effectively

Featuring multiple on-site, remote, and on-demand training options.

Featured PDPM Resources

Communication and Collaboration: Tools fo PDPM Success

The new Patient-Driven Payment Model will drive some of the most significant changes in post-acute care in the past 20 years, and providers must be equipped to change culturally, as well as financially and clinically.
 
Operators must prepare their caregiving teams for cultural shifts. They also need to make sure staff members can manage change and be proactive in addressing conflict.
 
In addition to offering a review of what PDPM is and outlining changes that need to be made, this webinar will take a deep dive into what providers should be doing to embed needed culture change. Real-world examples of what facilities are doing to prepare will be given. These valuable insights will help providers achieve success before, during and after PDPM implementation October 1.
 
Watch the webinar to learn: 
  1. How to improve communication within an organization and with referral partners
  2. Ways to implement an interdisciplinary team
  3. What real long-term care facilities are doing now to prepare their teams for PDPM

Phase I through PDPM: Future Challenges and Opportunities

 

We know that many of you are busy preparing for the upcoming reimbursement model change to PDPM. We also know that it seems like a daunting task to completely shift your mindset and prepare your staff for a new model. That’s why we’re breaking it out into three phases and our first white paper is ready!

Phase I through PDPM: Future Challenges and Opportunities will walk you through the first things you must do to prepare for PDPM.

Download this white paper to learn:

  • Where to train your clinical staff first
  • How your MDS Coordinator’s role is going to evolve
  • If your staff will need to become ICD-10 experts
  • Which preparation items should be prioritized

Resources

Clinical Mapping Under PDPM

Clinical Mapping for PDPM is confusing b/c of all the ICD-10 code options, but we’re here to help!

PDPM: Get Ready

PDPM will be a big shift. Read our recent blog to learn how you can prepare your facility.

RUG-IV vs PDPM: What’s the Difference?

This blog walks through the differences between RUG-IV and PDPM and what your facility can expect.

PDPM Calendar

Our recent PDPM Planning Calendar takes your team from April to the big shift in October.

Your Plan of Attack for PDPM

Our recent blog will walk you through each month up to October 1st, and how you can best plan.

April Stars Showers for SNFs?

PDPM isn’t the only shift to come. This blog discusses a few key changes in the near future.

CMS Resources

FY2019 SNF PPS Final Rule

MDS Changes Fact Sheet

Interrupted Stay Fact Sheet

PDPM FAQs

ICD-10-PCS Procedure Codes: FY 2020

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Whether you’re looking to get started with electronic health records, improve your billing and payments systems, or jumpstart your growth transformation, we’re here to help every step of the way.

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