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PDPM Rate Calculator
for Long-Term Care


Solutions

Providing solutions that enable exponential impact.

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People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support.

Learn how PDPM will affect your long-term care organization

Before PDPM takes effect in October, long-term care providers need to know how it will affect their business. This Patient-Driven Payment Model (PDPM) calculator illustrates how a resident is classified for payment purposes and how per diem payment is calculated under PDPM. To help you prepare, WellSky Long-Term Care developed this helpful calculator for new referrals, IPAs, and current MDS clients to test.


Under PDPM, there are five case-mix adjusted components:

  • Physical therapy (PT)
  • Occupational therapy (OT)
  • Speech-language pathology (SLP)
  • Non-therapy ancillary (NTA)
  • Nursing

Each resident will be classified into one, and only one group, for each of the five case-mix adjusted components. That means each resident is classified into a PT group, an OT group, an SLP group, an NTA group, and a nursing group.

For each of the case-mix adjusted components, there are a number of groups to which a resident may be assigned, based on the relevant MDS 3.0 data for that component. There are 16 PT groups, 16 OT groups, 12 SLP groups, 6 NTA groups, and 25 nursing groups.

Calculate your expected PDPM reimbursement rates with:

  • Prioritized diagnosis codes
  • Accurate coding
  • Scoring of NTA components

Access and share this PDPM calculator with your team!


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Revenue Cycle Management

Recorded Oct 23, 2018

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Teresa Remy

Presenter: Teresa Remy

LeaderStat Director of Consulting

Teresa Remy, DSc, MHA, LNHA, BSN, RN, RAC-CT, CDP, QCP, IPCO, has nearly 37 years of experience working in healthcare. Teresa has a proven record of achieving consecutive 5- Star Ratings, National Quality Awards, U.S News and World Report Best Nursing Home Awards, perfect surveys as well as working with multi-facility chains in achieving exceptional results. 

At LeaderStat, Teresa provides both onsite and offsite support and training in key quality system audits, survey preparation, assistance with the development of processes that work in the real world and can be sustained, assistance with targeting areas that help prevent costly deficiencies.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

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.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

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.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

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.

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About WellSky

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.



About WellSky

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.