ADL Enhances EMR Functionality for PDPM
By: ADL Data Systems
ADL is enhancing its software in preparation for the Patient Driven Payment Module (PDPM). Our goal is to assist facility staff in classifying patients into the appropriate payment groups based on data driven clinical characteristics. PDPM is value based and rewards patient outcomes.
Patient Driven Payment Method (PDPM) Information
Effective October 01, 2019, each patient will be assigned a case mix classification that drives reimbursement. The primary diagnosis (Section I10020B on the MDS) will determine which of the 10 clinical categories the patient will be assigned. Once the clinical category and any comorbidities are taken into account, the patient will be categorized further based on 5 criteria: Nursing, Occupational Therapy, Physical Therapy, Speech Therapy, Non Therapy Ancillary (NTA). These 5 items are the basis of PDPM.
Patient Driven Payment Model (PDPM) MDS Changes
CMS has provided a beta version of the PDPM calculator for the MDS. The calculator has been integrated into the MDS and is being test for early release. The screen has been simplified to provide a easier view.
For more information about the changes and preparations for PDPM, visit our website at: https://www.adldata.org (https://www.adldata.org/
ADL Data Systems, Olinda Montoro