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The pre-admission process will take on an entirely new level of importance once Patient-Driven Payment Model (PDPM) goes into effect on Oct. 1, 2019. In PDPM, payment hinges on proper admission practices. The clinical data gathered before admission informs the case-mix group the patient could fall into, says Reta Underwood, RAC-CT, C-NM, QCP, Medicare specialist and president of Consultants for Long Term Care. As such, many facilities admissions processes are not set up to collect the amount of data required by PDPM. Without that clinical data, providers may miss valuable revenue opportunities, says Eleisha Wilkes, RN, RAC-CT, clinical consultant with Proactive Medical Review. With PDPM implementation right around the corner, many facilities may adapt their admissions process to meet PDPM’s new requirements...Read the full article. PPS Alert for Long-Term Care will lead you successfully through the PDPM process and keep you up to date with the latest regulatory changes that affect your facility. It will also give you the latest compliance advice and analysis regarding coding, survey compliance, payment, QAPI, infection control, and more. Subscribe now to get instant access to the industry’s leading resource devoted to navigating long-term care professionals through compliance, quality, and reimbursement. This monthly digital newsletter provides practical tips, how-to guidance, and vital tools from our team of long-term care experts to help your facility remain compliant and quality-focused. | |
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