Solutions
Revisiting PDPM: Factors that determine when to
complete the Interim Payment Assessment
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support.
Revisiting PDPM: Factors that determine when to complete the Interim Payment Assessment
The Interim Payment Assessment (IPA) was first introduced to skilled nursing providers under the Patient Driven Payment Model (PDPM). This assessment is optional. There are no penalties for completing or not completing the IPA.
Though optional, the IPA ensures that skilled nursing providers receive reimbursement that truly reflects the care they provide. To determine when to complete the IPA, skilled nursing providers must consider several factors.
In this tip sheet, Scott Heichel, Director of Clinical Reimbursement at LeaderStat, reviews several factors that should be considered before completing the IPA.
Download the tip sheet to learn:
Recorded Oct 23, 2018
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Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, CIC, QCP, IPCO, is the Director of Clinical Reimbursement for LeaderStat. He brings over 25 years of healthcare experience. Scott is recognized for his expertise in the RAI process and clinical reimbursement.
Scott’s consulting work includes performing Medicare and Medicaid reimbursement reviews and creating 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 and has also assisted in corporate integrity audits and corporate compliance reviews.
Scott is a member of the American Association of Post-Acute Care Nursing (AAPACN) Board of Directors, the American Association of Nurse Assessment Coordination (AANAC) Expert Advisory Panel, is 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.
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.
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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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