Webinar: The Vital Role Interim Payment Assessments Will Have on PDPM Success

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Overview

As skilled nursing facilities (SNFs) roll into their first full year of the Patient-Driven Payment Model (PDPM), many facilities are still trying to understand the role that Interim Payment Assessments (IPA) will play in successful PDPM reimbursement. Under the final rule, providers are only required to perform two Prospective Payment System (PPS) assessments: on day 5 and upon discharge. However, the Centers for Medicare & Medicaid Services (CMS) states that an “IPA is optional and will be completed when providers determine that the patient has undergone a clinical change that would require a new PPS assessment.” Which leads to question, are IPAs really optional? And, how and when should facilities be documenting IPAs?

Learning Objectives

• Gain a full understanding of what an IPA is and when/if one should be done.
• Explore the financial benefits IPAs have on a facility’s bottom-line.
• Establish clinical criteria for triggering IPAs to avoid potential audits of abuse.

Presenter

Jim Shearon, RN, BSN, MHSA Vice President, Clinical Solutions

Jim is a seasoned expert in Medicare and Medicaid reimbursements, quality improvement, HIT, and guideline-based care in the long-term care industry. At AccuNurse by Honeywell, Jim perfected process improvement models and helped a wide variety of clients drive new levels of quality and cost savings through voice-directed documentation. As a case-mix specialist at HCR ManorCare, Jim audited Medicare and Medicaid documentation and assisted nursing facilities in completing MDS 2.0 documentation. As an RNAC, Jim implemented, educated, coached, validated, and monitored the RAI Process. He was also responsible for MDS, management of Medicare, PPS, and Medicaid to ensure all documentation met federal, state, and certification guidelines.

Jim received his bachelor’s degree in nursing from Clarion University of Pennsylvania, RN certification from West Penn Hospital School of Nursing, master’s degree in health services administration from the University of Saint Francis-Joliet Illinois, and studied pre-medicine at California University of Pennsylvania.

Registration

Registration for this webinar is per connection needed at a facility. This allows multiple staff members to participate in the education using one connection. Prior registration is required to ensure connection information and applicable materials are distributed prior to the webinar. The registration for this webinar is free for SDAHO Member facilities and $49 for non-member facilities.

Sponsor

SDAHO is able to offer this education free to our members thanks to the generous sponsorship of Real Time Medical Systems.