Helpful Links & Downloads

  • Understanding Diagnosis Coding Under the New Payment Driven Patient Care (PDPM) Model
    The new Medicare fee-for-service reimbursement model known as Patient Driven Payment Model (PDPM) will drastically change how reimbursement will be determined. In the past, the Resource Utilization Groups (RUG-IV) have determined reimbursement, in which the amount of therapy a resident received played a significant part in the amount of reimbursement the facility received for that […]
  • Tips on Choosing Diagnoses for the LTPAC Resident Stay
    Trepidation, fear and confusion have all been experienced by minimum data set (MDS) coordinators and staff alike at various long-term post-acute care (LTPAC) facilities regarding selecting and/or having to code diagnosis for residents—especially upon admission. Some common questions include: “What do I choose?” “How do I know if it is the correct primary or admitting […]
  • Understanding the CMS Requirements of Participation Past and Future
    Note: This is the first blog in our multi-part blog series on the CMS Requirements of Participation. Did you know that one in three long-term post-acute care (LTPAC) residents is harmed by an adverse event within 35 days of their stay? Indeed, it is true, and the statistics from the Office of Inspector General don’t […]