Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency
As the name states, the Patient Driven Payment Model (PDPM) compensates by patient characteristics and the associated ICD-10 Codes. Hence, it is imperative to identify and properly document the ICD-10 Codes that best reflect the patient’s reason for Skilled Medicare Coverage upon admission to the SNF.
There are 3 outcomes when selecting patient ICD-10 Codes:
- Return to Provider
- Resolved in Hospital
- Reason for Skilled Care