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Patient-Driven Payment Model (PDPM) Resource Center

October 1, 2019 brought about some big regulation changes. How are you navigating these changes to Medicare payment model?

What is PDPM?

There’s a new payment model coming this year for skilled nursing facilities (SNFs), and it will require a completely new way of calculating reimbursements. With the model taking effect on October 1, 2019, skilled nursing facilities will need to prepare now for a new case-mix model that focuses on clinically relevant factors rather than volume-based services.

From helping your staff members understand the shift in mindset to accurately calculating reimbursements rates for your facility, Cantata Health’s NetSolutions platform has the expertise to guide our clients through the upcoming changes.

To ensure accurate payments, skilled nursing facilities need a solution that can:

Reduce risk and ensure accuracy

Increased compliance with clinical decision support tools. 

Gain visibility into data and population

Configurable snapshot views and reporting based on your desired area of focus.

Alleviate administrative burdens

Access to ICD-10 libraries and daily reimbursement rates.

Enable staff to work effectively

Featuring multiple on-site, remote, and on-demand training options.

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Featured PDPM Resources

PDPM Transition Training Course

Ensuring your team understands the tools and resources available to them is extremely important for PDPM success. We are proud to offer a PDPM Transition Training Course to help your team feel confident implementing new processes and workflows across clinical and financial teams.  

What you’ll learn 

  • Using your care plan system to its full potential 
  • MDS coding and documentation 
  • Using your MDS scrubber and external analysis
  • Diagnosis support 
  • How your Medicare Daily Standup and Triple Check Meeting should be changing
  • Interrupted stay policies and the effect on your reimbursement

This 4-hour training course is available as online facilitated or onsite. Fill out the form to request full details and pricing, or contact your Account Manager today!

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Communication and Collaboration: Tools for PDPM Success

The new Patient-Driven Payment Model will drive some of the most significant changes in post-acute care in the past 20 years, and providers must be equipped to change culturally, as well as financially and clinically.
Operators must prepare their caregiving teams for cultural shifts. They also need to make sure staff members can manage change and be proactive in addressing conflict.
Watch the webinar to learn: 
  • How to improve communication within an organization and with referral partners
  • Ways to implement an interdisciplinary team
  • What real long-term care facilities are doing now to prepare their teams for PDPM

Phase II through PDPM: Connecting the Dots

This white paper offers a quick review of PDPM while outlining changes that need to be made at your facility. Additionally, our experts have taken a deep dive into what providers should be doing to embed the culture changes needed in order to be ready for PDPM.

Download this white paper to learn:

  • How to improve communication within an organization and with referral partners
  • Ways to build and implement an interdisciplinary team
  • Why pre-admission will play a key role in your PDPM success
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Clinical Mapping Under PDPM

Clinical Mapping for PDPM is confusing b/c of all the ICD-10 code options, but we’re here to help!

PDPM: Get Ready

PDPM will be a big shift. Read our recent blog to learn how you can prepare your facility.

RUG-IV vs PDPM: What’s the Difference?

This blog walks through the differences between RUG-IV and PDPM and what your facility can expect.

PDPM Calendar

Our recent PDPM Planning Calendar takes your team from April to the big shift in October.

PDPM: Future Challenges and Opportunities

This white paper will walk you through the first things you must do to prepare for PDPM.

April Stars Showers for SNFs?

PDPM isn’t the only shift to come. This blog discusses a few key changes in the near future.

CMS Resources

FY2019 SNF PPS Final Rule

MDS Changes Fact Sheet

Interrupted Stay Fact Sheet


ICD-10-PCS Procedure Codes: FY 2020

Contact Us

Whether you’re looking to get started with electronic health records, improve your billing and payments systems, or jumpstart your growth transformation, we’re here to help every step of the way.

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