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...
MDS Section J is no “J”oke!

MDS Section J is no “J”oke!

PDPM!  I am sure you have heard about this new payment system by now, right? As you prepare and position yourself for this major change, we have to not only understand all of the moving parts, but more importantly, how all of those moving parts affect resident...
Proposed Rule for FY 2020

Proposed Rule for FY 2020

The Centers for Medicare & Medicaid Services (CMS) publicly posted the fiscal year (FY) 2020 Skilled Nursing Facility Prospective Payment System (SNF PPS) Proposed Rule. The rule updates Medicare Part A per-diem payment rates as well as proposing other key policy...
Revitalizing Restorative Nursing

Revitalizing Restorative Nursing

Restorative nursing is important to your facility now and will be under the new Patient Driven Payment Model (PDPM) payment system. Ensuring that our residents have services to improve or maintain their functional abilities is imperative for resident outcomes and to...
PDPM Patient Classification Update

PDPM Patient Classification Update

CMS has updated the patient classification FAQ on February 14, 2019.  In this updated FAQ, CMS clarifies where the primary reason for the SNF stay will be coming from. It was previously noted that the ICD-10 code that reflects the reason for the SNF stay would pull...