Health Care

Patient Driven Payment Model (PDPM)

The transition to the Patient Driven Payment Model (PDPM) is likely to bring about some challenges. Many healthcare organizations have been struggling with ICD 10 coding, MDS accuracy and understanding the impact on reimbursement.

Successful transition requires the facility to know their baseline and where deficits exists. Improvement programs are the result of building many small improvements across the entire process that result in significant impact in total. The goal of our PDPM services is to identify areas that require improvement and to assist the facility in minimizing time and dollars lost. Our approach includes the following services which can be provided individually or combined into packages to meet the unique needs of the facility.

These services include:

  • Baseline assessment of MDS and ICD-10 Coding
  • Review of therapy contracts
  • Education to address specific areas which require improvement
  • Telephone and email support
  • Ongoing audits to ensure maximum reimbursement and compliance

Assess-Plan-Implement-Evaluate: By successfully following these steps, your organization can be comfortable with knowledge that you are prepared to successfully transition to and manage PDPM.

Featured Thought Leader

Caryn Adams, RN, MSN, DNS-CT, HCS-O, ICD-10

Caryn Adams, a manager in Wipfli LLP’s health care senior living practice, has more than 25 years of experience in the health care industry. Her vast industry experience lends a deep understanding of the challenges faced by her clients. Caryn is dedicated to providing exceptional client service to assist long-term care and senior living providers in achieving their strategic goals.

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