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PDPM – Focus on the PT and OT Components

Members: Free |  Non-members: $101
Continuing Education: 1.0 CE hour
Date: June 16, 2022
Time: 2 pm ET, 1 pm CT, Noon MT, 11 am PT
Duration: 60 minutes
Speaker: Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC

The Physical Therapy (PT) and Occupational Therapy (OT) components of the Patient-Driven Payment Model (PDPM) use an identical two-step methodology to achieve the same final case-mix groups (CMGs), but the nuances within those steps can confuse nurse assessment coordinators (NACs) and interdisciplinary team (IDT) members alike. The seemingly straight-forward first step of selecting the primary diagnosis to be coded at MDS item I0020B is often much more challenging than it appears. Accuracy of this item requires ICD-10-CM coding knowledge, ability to use the PDPM mapping file, strong communication with physicians, and IDT collaboration. In addition, failing to identify a related surgical procedure in section J can result in the incorrect mapping of the selected diagnosis code. The second step is the assessment of usual function in section GG to determine the function score, which requires a strong IDT process, episode-based documentation or interview, and timely collaboration.

During this 60-minute webinar, AAPACN Curriculum Development Specialist, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, will walk through the complex path of assigning the most appropriate primary diagnosis, determining the mapping to the clinical category, and calculating the PT/OT function score to assign the final PT and OT case-mix groups.

After participating in this webinar, learners will be able to:

• Identify the MDS items used in the methodology of the PT and OT components
• Use the CMS ICD-10-CM mapping file to determine the PT and OT clinical category
• Understand the PT/OT function score calculation using section GG
• Apply the PT and OT components methodology to project the final case-mix groups

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