Insightful sessions on PDPM at the 2019 Summer Conference
PDPM
Medicare is implementing a new payment system which will take effect October 1, 2019. The change from the Resource Utilization Group [RUG] to Patient Driven Payment Model [PDPM] is transformational in how skilled nursing facilities manage their Medicare patients. When PPS was first implemented in the late 1990’s numerous SNFs were forced into bankruptcy. In order to prevent a recurrence, provider must make fundamental changes today.
PDPM for Executives: Costs and Outcome Metrics Essential for Success
In July 2018 CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective October 1, 2019 will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. Under PDPM reimbursement will be driven by patient characteristics and diagnostic data, and not by services provided. Providers will need to be aware of key topics including Administrative level of care Presumption; Group and Concurrent Therapy limits, Interrupted Stay Policy and key MDS changes that impact the model. How will your team effectively manage the cost of services provided? What outcomes of care will you measure and share with your referral sources? Alternative metrics considerations and strategies for success will be described. If you want to secure a position in the market and ensure a healthy bottom line under PDPM this session is for you.
The Phase 3 Rules of Participation and PDPM- Are You Ready?
The new Phase 3 Rules of Participation go into effect in November on the heels of the new Patient Driven Payment Model (PDPM). These two impactful changes intersect in Compliance and Quality Assurance (QAPI). Learn the requirements from Phase 3 in these two areas, understand the Compliance risk areas for PDPM and take away potential QAPI activities to help mitigate them.
HHSC to present on Monday and Thursday
Regulatory Changes, Updates and Revisions: What’s new from CMS and updates from HHSC Long-term Care Regulatory
‘In this session, we will discuss recent guidance and upcoming regulatory changes put forth by CMS and discuss HHSC Long-term Care Regulatory updates.
The Texas Journey – Reducing Antipsychotic Use and Improving Quality of Care through Collaborative Approaches
HHSC QMP staff will discuss the results of a root cause analysis outlining why antipsychotic medications are often used in Nursing Facilities, including staffing issues, lack of well-trained dementia-competent workforce and an underdeveloped workforce. Specific challenges for Texas will be outlined and training opportunities and initiatives will be discussed.
Quality Incentive Payment Program (QIPP) Update
This session will provide an overview of the Quality Incentive Payment Program (QIPP), a look at current and upcoming quality metrics included in the program, and a walkthrough of provider data submission for program year three, which begins on September 1, 2019.