PDPM Putting the Pieces Together – Case Study Results

How is the HIPPS Code Determined? Reimbursement Calculated?

Let’s look at how a HIPPS code is determined, and some pointers on how to recognize if the HIPPS code outcome is incorrect based on what you know about your resident. This will make you the STAR of the Triple Check Meeting!

We will also look at our Case Example’s HIPPS code and review the reimbursement rate and how it was determined. Using your PDPM cheat sheet and the PDPM Resources Page of the website, you can determine the reimbursement rate for any HIPPS Code, as well as determine how changing the code will impact the reimbursement rate.

This video will help you to connect all the dots, from answering MDS questions, to Case Mix Group determination, to reimbursement to Triple Check!

The slide packet for all videos is located on the PDPM Course Home Page