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 … [Read more...]

The "fine print" of PDPM - How does PDPM impact the MDS schedule, the need for an IPA, and determining if the resident qualifies for an interrupted stay... Don't forget to use the PDPM Calculator and IPA Calculator on the website PDPM Tab to help … [Read more...]

Nursing Component Details How is the Nursing Component determined? What MDS questions impact the Case Mix Group? The Nursing Component is the best place to start when learning how PDPM works. It is the only piece of PDPM that is most similar … [Read more...]

PT and OT Component Details Lean exactly what determines the PT and OT Case Mix Groups and the coding decisions made that impact the final outcome. Gather your PDPM Cheat Sheet, Function Score Training Sheet and CMS Mapping File (found under … [Read more...]

Speech Component Details We will be working in the Yellow Section of your PDPM Cheat Sheet for this portion. You will also need the CMS Mapping File for the Speech ICD-10 Codes that qualify for Speech Comorbidities. You can download the File … [Read more...]