RAI Manual V1.17.1 Update

RAI Manual V1.17.1 Update

On September 18, 2019, CMS published the updated Resident Assessment Instrument (RAI) Manual V1.17.1 replacement manual pages and change tables. In order to assist providers with accurate clinical category designation under the Patient Driven Payment Model (PDPM), CMS...
What is Your PDPM Transition Strategy?

What is Your PDPM Transition Strategy?

Well my friends, it is time to seriously review your Patient-Driven Payment Model (PDPM) transition strategy.  October 1st  is just around the corner.  Over the past nine months, at Functional Pathways, we have had a robust educational campaign to prepare and position...
Interim Payment Assessment

Interim Payment Assessment

There are situations when a Skilled Nursing provider may complete an assessment after the 5-day assessment.  This assessment is an unscheduled assessment and when deemed appropriate by the provider, may be completed to capture changes in the resident’s status and...
The Interrupted Stay

The Interrupted Stay

If you were to Google the word ‘interrupt’, you will see the definition, “stop the continuous progress of (an activity or process); stop (someone speaking) by saying or doing something; break the continuity of (a line or surface); obstruct (something, especially a...
PDPM HIPPS Codes

PDPM HIPPS Codes

Beginning October 1, 2019 providers will need to begin coding a new set of Health Insurance Prospective Payment System (HIPPS) codes in Section Z0100A of the MDS as well as on the Part A claim. This coding of HIPPS codes will identify the resident’s SNF PDPM...