Download presentation
Presentation is loading. Please wait.
1
Understanding the Physician’s Role in Partnering for PDPM Success
Kendra Coco MPT, NHA, RAC-CT, RAC-CTA Director of Clinical Reimbursement 9/3/2019
2
Patient Driven Payment Model (PDPM)
Effective October 1, 2019 Medicare A payment model that shifts focus from therapy utilization to patient characteristics Incentivizing SNFs to take on higher acuity patients with more complex conditions and comorbidities Payment is captured through MDS coding Must have documentation support
3
Variable per diem adjustment
Constant per diem rate Variable per diem adjustment
4
Higher needs = Higher Case Mix for each component
Model Snapshot Higher needs = Higher Case Mix for each component Patient driven and holistic care model based on patient’s unique needs
5
Focus #1: Timeliness of Visits
Admission - Visit goal within hours Provider documentation assists in obtaining & authenticating patient information, including medical diagnoses for initial MDS assessment Initial MDS assessment due no later than day 8 however, Some hospital interventions may be considered Ie. IV fluids in 7 day look back Change of condition - Optional Interim Payment Assessment (IPA) Can be completed if increased acuity & financial gain achieved
6
Focus #2: Diagnosis Accuracy
Reason for SNF Admission Influences all 5 Clinical Components PT, OT, SLP, Nursing, NTA NTA diagnoses are paid 3x NTA Component rate for first 3 days Hospital assigned diagnoses may not be relevant or accurate Acute illness & infections may be resolved Red flags for audits Must be coded on initial MDS assessment & have documentation support
7
ICD-10 CM coding accuracy for PDPM
Paints a detailed picture of the residents, conditions, areas of risk of exacerbation, comorbidity risks & prognosis Medical Diagnosis Reason for the SNF stay (primary medical diagnosis) Pertinent active Comorbidities Highest degree of specificity Treatment Diagnosis Relates to Medical Diagnoses Related to assessment findings (standardized tests and measures) Relates to goals & treatment plans Highest degree of specificity Reference: PDPM FAQ 2.1 CMS states: “There are two ways in which ICD-10 codes will be used under PDPM. First, providers will be required to report on the MDS the patient’s primary diagnosis for the SNF stay. Each primary diagnosis is mapped to one of ten PDPM clinical categories, representing groups of similar diagnosis codes, which is then used as part of the patient’s classification under the PT, OT, and SLP components.” “Second, ICD-10 codes are used to capture additional diagnoses and comorbidities that the patient has, which can factor into the SLP comorbidities that are part of classifying patients under the SLP component and the NTA comorbidity score that is used to classify patients under the NTA component.”
8
MDS Coding of Active Diagnoses
Condition must be documented by MD, NP, PA, or CNS in the last 60 days Direct relationship to current status Functional Cognitive Mood Behavioral Medical treatments Nurse monitoring Risk of death **(except UTI-last 30 days) Past 7 days
9
Primary Diagnosis: RTP
RTP examples Muscle weakness (generalized) Age related osteoporosis without current pathological fracture Fractures “unspecified” Dyspnea, unspecified Shortness of breath Nausea, vomiting Acute duodenal ulcer with hemorrhage Diagnosis listed Return to Provider are considered not appropriate as primary diagnosis for a SNF stay Can report as secondary diagnosis on MDS and claim Provider Query Kendra
10
Nearly 43% of eligible ICD-10 codes are RTP
CMS Mapping Tool “Return to Provider” Codes Unspecified codes Codes that don’t support inpatient SNF care Nearly 43% of eligible ICD-10 codes are RTP
11
Fracture Coding for PDPM
Fractures coded (not aftercare) when surgeries repair the fracture ORIF Joint replacement Need to code as specific as possible Open or closed otherwise defaults to closed Displaced or nondisplaced defaults to displaced Traumatic or pathological
12
SLP Acute Neurological Comorbidity Diagnoses
13
Diagnosis influencing Non-Therapy Ancillaries (NTA)
NTA Qualifiers Clinical Resources & supplies needed to care for resident Excludes therapy services Most common items: Medications Medical supplies Labs Respiratory Therapy Why? RUG IV did not take into consideration Care Points $
15
Behaviors Impacting Nursing Component
Hallucinations Delusions Behaviors Rejection of Care Wandering Must have documentation support during MDS lookback If no documentation, cannot code! IDT review for rejection of care accuracy Rejection of care includes: refusing showers, ADL assist, medications, treatments, labs, assessments, etc.
16
Health Conditions Impacting Nursing & NTA Component
Shortness of Breath/Trouble Breathing Lying Flat Fever Vomiting Ostomy and Intermittent Catheterization Urinary Toileting and/or Bowel Toileting Program Cynthia
17
Surgical Procedure Impacting the Therapy Components
Impacts all 3 Components Major surgical procedure: At least 1 inpatient day within an acute care hospital within the last 30 days prior to SNF admission Carried some degree of risk to patient’s life or potential disability
18
Swallowing/Nutritional Status
Signs & symptoms of possible swallowing disorder impacting ST component Loss of liquids/solids when eating/drinking Holding food in mouth/cheeks or residual food in mouth after meals Coughing or choking during meals or swallowing meds Complaints of difficulty or pain with swallowing Mechanically Altered Diet while a resident Impacting the Nursing & NTA components Significant Weight Loss Impact Nursing Component IV Feeding & Tube feeding impact Nursing & NTA Component
19
Skin Conditions Impacting Nursing & NTA Components
Current Unhealed pressure ulcers Venous/Arterial Ulcers Foot Infection Diabetic Foot Ulcer, or Other open lesion on foot Open Lesions, Surgical Wounds 2 or more Skin and Ulcer/Injury Treatments Pressure relieving chair and/or bed Turning/repositioning Nutrition or hydration intervention Pressure ulcer care Application of non-surgical dressings (not feet) Application of ointments (not feet)
20
Medications impacting the Nursing Component
Insulin Injections and insulin order changes
21
Special Treatments, Procedures, & Programs
While a Resident impacting the Nursing, NTA & SLP Components Chemotherapy Radiation Respiratory & Oxygen Therapy Suctioning Tracheostomy Care Invasive Mechanical Ventilator IV Medication Transfusion Dialysis Isolation Restorative Programs
22
Focus #3: Managing Medically Complex Patients
Prevent unnecessary use of resources, including avoidable rehospitalizations Advance Care Planning Change of Condition May qualify for IPA (Interim Payment Assessment) Reset payment if resident characteristics change
23
Length of Stay: Case Management
24
Focus #4: Pharmacy cost containment
Pharmacy cost is reimbursed under NTA category Consider pharmacy formulary Medicare does not distinguish between branded & generic medications IV infusions bring higher reimbursement, but branded IV meds may cost more than the entire NTA allowance Antibiotic stewardship is equally important for patient safety & cost reduction
25
Focus #5: Therapy Service Collaboration
Therapy no longer a driver for SNF reimbursement but still needed for outcomes Patient qualifies for a PT, OT, ST Component whether or not therapy is ordered Reductions risk audits - PEPPER report Top of License Restorative Nursing collaboration with therapy Provider should continue to be closely involved in initiation, care planning, and cessation of therapy services to streamline & safeguard efficiency & integrity
26
PDPM Teamwork
27
Kendra Coco MPT, NHA, RAC-CT, RAC-CTA
Director of Clinical Reimbursement
Similar presentations
