Medical Review Under PDPM

Medical Review Under PDPM

CMS issued their updated their guidance to Medicare Administrator Contractors (MACs) on November 15, 2019 regarding Medical Review Instructions related to Skilled Nursing Facilities in Publication 100-08 Medicare Program Integrity, Transmittal 924. The effective date...
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...
Hide the Cones and Pegs

Hide the Cones and Pegs

As we move closer to the new world of PDPM, it is very important that our occupational therapy teams continue focus on functional intervention during their treatment session.  This is a great article from the American Occupational Therapy Association which could...
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...