Since its implementation on October 1, 2019, the Patient-Driven Payment Model (PDPM) has reshaped skilled nursing reimbursement, replacing RUG-IV with a more clinically driven, case-mix methodology. The PDPM Quick Reference Toolkit gives your team at-a-glance resources to understand all five PDPM components—Physical Therapy (PT), Occupational Therapy (OT), Speech-Language Pathology (SLP), Nursing, and Non-Therapy Ancillary (NTA)—so your facility can ensure accurate MDS coding and reimbursement.
Inside the toolkit, you’ll find:
Case-Mix Classification Groups for PT, OT, SLP, Nursing, and NTA
Nursing Case-Mix At-a-Glance Grouper Tool for quick resident category reference
PDPM MDS Item Guides to support accurate assessment and coding
Comprehensive Introduction & Overview providing context, practical applications, and guidance for auditing
Accurate PDPM classification drives proper reimbursement, supports resident-centered care planning, and ensures compliance with Medicare guidelines. This toolkit gives staff quick, actionable references to streamline workflows, reduce errors, and confidently apply PDPM rules.
Provide your team with the tools they need to navigate PDPM, strengthen coding accuracy, and enhance operational efficiency—all in one convenient package.