CMS adds PDPM Implementation Webinars for MDS

To: Federally Certified Skilled Nursing Facilities Administrators, Directors of Nursing, MDS Coordinators, Billing and Coding Personnel, Licensed Nursing Facilities Administrators

From: The Health Facilities Education and Quality (HFEQ) Branch of the Health Facilities and Emergency Medical Services Division (HFEMSD)

The Patient-Driven Payment Model (PDPM) is coming for all MDS 3.0 submissions with an Assessment Reference Date (ARD, A2300) on or after October 1, 2019. This will have implications for submission to the Federal database (OBRA and optional Interim Payment Assessments) for Medicare reimbursements. There will be additional considerations for State reimbursements via Medicaid for using the Optional State Assessments (OSA).

CMS has provided videos of a recent training in Kansas City to assist with understanding this transition for Medicare Part A residents. The second video includes an example PDPM HIPPS code calculation.
– Patient Driven Payment Model: What is Changing and What is Not(72 min)
– Integrated coding & PDPM Case Study (58 min)

CDPHE will provide explanatory webinars to introduce these changes in Colorado and for Medicaid residents. Participants will identify State contacts for questions and further information.

Each CDPHE webinar will have course materials available before the sessions. It is important to register via Train.org, and to allow Train to send email notifications to receive the call-in times and URL. Multiple participants are welcome per phone line.

PDPM Practice Webinars (ID 1086630)
This series of 5 one-hour weekly webinars will compare and contrast the current Prospective Payment System (PPS) with upcoming PDPM concepts and requirements. 
– Intro – Adjustments and additions to the Item Set will be discussed. The new Interrupted Stay policy will be explained. A framework for the calculation of PDPM payments using the new HIPPS codes will be introduced. The webinar will be a prerequisite to further PDPM Practice Webinars because of terminology.
– Case 1 – Admit with Infection
– Case 2 – Admit for Procedure Aftercare
– Case 3 – Acute Infection becomes Pneumonia
– Case 4 – Complex Surgical Aftercare

Using the Optional State Assessment (OSA) for Medicaid Nursing Home Residents in Colorado (ID 1086621)
This will be a joint webinar between the Colorado Departments of Public Health and Environment (CDPHE) and Health Care Policy and Financing (HCPF) to clarify the use of OSA for nursing homes. Medicaid requirements and timelines will be explained, and practical examples of MDS 3.0 items will be reviewed. There will be time for Q&A. 

To see additional session details and register for session materials for one of these offerings:
1. Go to http://www.train.org/ 
2. Log in to your existing CO.TRAIN account, or new users click “Create an Account”.
3. Once you’ve logged in, or created an account, Search (top right) for the appropriate Course ID. (See above for desired training)
4. Click link for desired course. Note open session options.
5. Click the “Register” button for the session you wish to attend.
6. Remember to register separately for each desired course.

Detailed Instructions for Using Train.org (if needed) 

Questions?: Please email betty.metz@state.co.us

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