Patient-Driven Payment Model (PDPM)- The Significance of ICD-10 Coding

By Melissa Keiter, RN, RAC-CT, DNS-CT, DON And Melissa Sabo, OTR/L, CDP, CSRS As healthcare providers, we all understand the importance of properly coding diagnoses on the MDS. However, the significance of accurate and appropriate ICD-10 coding plays an even more vital role under PDPM. The diagnosis coding will be the foundation used to classify …

Patient-Driven Payment Model – A Decrease in Administrative Burden for MDS Coordinators

By Melissa Keiter, RN, RAC-CT, DNS-CT, DON And Melissa Sabo, OTR/L, CDP, CSRS RUGS-IV contains intricate rules and regulations along with a significant number of assessments based on the complex scheduling system. From SOTs to COTs and the rarely used EOT-R assessments, as well as the constant potential for assessment throughout the entire skilled stay, …

Section GG to Replace Section G For RUGs: Major Changes Ahead

By Melissa Keiter, RN, RAC-CT, DNS-CT, DON And Melissa Sabo, OTR/L, CDP, CSRS It seems like as far back as I can remember as an MDS Coordinator (this statement seems odd since this white paper is co-authored by two people), one of the main areas of focus and significance was Section G. Reviewing ADLs, especially …

Patient-Driven Payment Model (PDPM) – 6 Keys You Need to Know

By Melissa Keiter, RN, RAC-CT, DNS-CT, DON and Melissa Sabo, OTR/L, CDP, CSRS On April 27, 2018, CMS released an alternative proposed rule for the Prospective Payment System (PPS), called the Patient-Driven Payment Model (PDPM), which would replace the existing RUGs-IV PPS classification system. In CMS’s proposed rule, PDPM is defined as promoting the utilization …