PDPM during COVID-19 - Optimize Your Medicare Reimbursement
Skilled nursing facilities have experienced many challenges during the pandemic, including the loss of residents and staff, falling census, and increased cost. CARES ACT financial relief has not consistently covered the costs incurred. Increased use of PP and staff overtime are costs that have increased dramatically due to the pandemic. This course will assist the MDS and clinical leaders to refocus on clinical reimbursement and explain ways to optimize payment from Medicare by managing clinical reimbursement processes. The practical application of Federal Medicare waivers and new ICD-10 CM diagnosis codes for 2021 will be reviewed. We will discuss key actions needed to optimize reimbursement under the Medicare PDPM payment category system that can be swiftly implemented to put your facility’s reimbursement back on the right path. 


Participants will be able to:

  • Describe the PHE waivers applied to Medicare SNF benefits
  • Define when to use each new ICD-10 CM code associated with COVID-19 and SARS-CoV2
  • Specify MDS items that will optimize PDPM reimbursement related to COVID-19
  • List documents to review to optimize PDPM payments
Audience: Nursing leaders, MDS Coordinators, Medicare Case Managers

Karolee Withers, RN, RAC-CT
Director of Clinical and Reimbursement Consulting
Pathway Health, 11240 Stillwater Blvd N, Lake Elmo, MN  55042 -- ©2021 Pathway Health