PDPM: Identifying Risk for Audits

October 2022 marks three years since the Patient Driven Payment Model (PDPM) was implemented. The Centers for Medicare and Medicaid has announced they are planning to apply a parity adjustment to make it budget neutral from the RUG-IV reimbursement methodology. Reimbursement under PDPM is under a microscope and ensuring accuracy in coding the MDS and having supporting documentation to capture the appropriate reimbursement is more important than ever. Acting now to ensure best practices are in place will help reduce your risk of audits.

Join Relias and Genice Hornberger, RN, Director of Regulatory Affairs at PointClickCare as we look at characteristics that increase a facility’s risk for audit, self-identify areas that place you at increased risk for audit, and look at the value staff training plays in reducing risk.

Learning objectives:

• Identify facility characteristics that would increase risk for audit
• Conduct a thorough MDS audit to self-identify increased risk for audit
• Articulate the value of staff training in reducing risk