Solutions
The Interdisciplinary Team and how it can impact
and be impacted by PDPM facility processes
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support.
The Interdisciplinary Team and how it can impact and be impacted by PDPM facility processes
Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, CIC, QCP
The Patient-Driven Payment Model (PDPM) went into effect on October 1, 2019, in all skilled nursing facilities (SNFs) that care for traditional Medicare residents. PDPM replaced the previous payment model known as Resource Utilization Groups (RUG-IV).
Unlike the previous model, reimbursement claims can be classified into what seems like an infinite combination of HIPPS codes. These classifications don’t consider rehabilitation minutes or ADL information – instead, classification is made up of a sundry of items, including clinical acuities, diagnoses, resident characteristics, and comorbidities. Since PDPM relies on a variety of information from multiple sources, your facility’s Interdisciplinary Team (IDT) must be comprised of experts in every area.
This tip sheet highlights the key positions needed on your facility’s IDT. Download this free tip sheet to learn:
Recorded Oct 23, 2018
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Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, CIC, QCP, and Director of Clinical Reimbursement for LeaderStat brings more than 25 years of healthcare experience and is recognized for his expertise in the Residential Assessment Instrument (RAI) process and clinical reimbursement. Scott’s consulting work includes performing Medicare and Medicaid reimbursement reviews and educational programs for skilled nursing facilities and multi-facility operators. Scott has experience in and has testified as an expert witness in a large Medicare dispute case. He has also assisted in Corporate Integrity Audits and corporate compliance reviews. Scott is a member of the American Association of Nurse Assessment Coordination (AANAC’s) Expert Advisory Panel, has been recognized as a Master Teacher through AANAC for their RAC-CT MDS certification courses, and sits on the board as the President of the Ohio Association of Nurse Assessment Coordinators (OANAC).
Melissa Tabor LPN, has nearly 12 years of experience working in health care, primarily in long-term care. Melissa has devoted her nursing career to educating and training nurses to use evidence-based practice. Melissa currently holds a multi-state license, and is a CPR instructor, level-one Medication Aid Instructor, and has certifications in diabetic/nutrition, Intravenous (IV) therapy, and wound care.
As a product manager for WellSky, Melissa provides clinician-based knowledge to the product development team to ensure WellSky Long-Term Care products adhere to industry best-practices, ensuring the best possible outcomes for residents.
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.
WellSky is a technology company advancing human wellness worldwide. Our software and professional services address the continuum of health and social care — helping businesses, organizations, and communities solve tough challenges, improve collaboration for growth, and achieve better outcomes through predictive insights. People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care. Informed by more than 30 years of providing software and expertise, our purpose is to empower care heroes with technology for good, so that together, we can realize care’s potential and maintain a healthy, flourishing world.
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.
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