May 28, 2025 |
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| Price for Members: $75 per person |
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What’s It All About?
In 2019, the Centers for Medicare and Medicaid Services (CMS) changed the Medicare Part A reimbursement methodology to the Patient Driven Payment Model, or PDPM. Under PDPM, each resident under a Medicare Part A stay is placed into 5 case-mix groups (physical therapy, occupational therapy, speech therapy, nursing, and non-therapy ancillaries) based on over 150 possible different resident characteristics. In the summer of 2024, the state of Tennessee followed suit, switching their case mix methodology to PDPM, but only the nursing component.
This presentation will focus on the qualifiers for the nursing component of PDPM. We will review the connection between nursing practice and reimbursement, focusing on medical record documentation and accuracy of the MDS assessment.
Learning Objectives
Following this session, attendees will be able to:
- Identify the basic reimbursement structure of the nursing component of PDPM.
- Understand the how to determine the Nursing Function Score.
- Understand key areas of opportunity for documentation improvement.
Speaker
Amy Miller is currently the director of clinical and regulatory services with the American Health Care Association. She is a registered nurse with more than 25 years of experience in skilled nursing and long-term care. She has her bachelor of science degree in nursing from Misericordia University in Pennsylvania, is a certified professional coder with the AAPC, and is also a certified resident assessment coordinator.
Registration Information
DATE AND TIME:
May 28, 2025
Webinar: 10:00 a.m. – 11:30 a.m.
Registration fee: $75.00 per person for members
Credit: NAB: 1.5 Hours
To register: Register online by clicking below
Register NowCANCELLATIONS AND REFUNDS
THCA reserves the right to cancel any seminar and will make a full refund to registrants in the event of a cancellation. THCA understands that registrants cannot always attend seminars as planned. Therefore, substitutions may be made at any time. If a registration cancellation is necessary and is received by TNCAL at least 48 hours before the seminar, a full refund will be made; less than 48 hours, a 50 percent refund will be made. Those who cancel less than 48 hours prior to the seminar and have not paid will be invoiced for 50 percent of the fee. All cancellations must be in writing and emailed to education@thca.org. Registrants who do not attend and do not cancel will be invoiced for the full fee.
CONTINUING EDUCATION POLICY
THCA education program participants must attend the entire scheduled seminar to receive credit. No partial credit can be given for late arrivals or early departures. Any participant with knowledge of abuse or misuse of the attendance policy should contact THCA or the staff member present and request a form to report the incident. THCA will only accept attendance certificates that are completed and collected onsite at the conclusion of the seminar.
THCA/TNCAL’s Convention & Trade Show is the association’s signature event of the year, a time when Tennessee’s long-term care professionals can come together for education, networking, and a true sense of community. This year, however, the COVID-19 pandemic has created challenges unlike any our industry has seen before. THCA’s Board of Directors and staff have been considering the feasibility of holding a major event amid social distancing recommendations, restrictions on large gatherings, and the particular dangers of the virus to the elderly population.