PDPM Resource Center - available to all SNF AHCA Members


On October 1, 2019, skilled nursing facility (SNF) providers will submit claims for Medicare Part A services under an entirely new per-diem SNF prospective payment system (PPS) model called the Patient Driven Payment Model (PDPM).  Payments under the RUG-IV SNF PPS model will end on September 30, 2019. 

The PDPM case-mix payment model relies on resident clinical characteristics reported on the minimum data set resident assessment instrument (MDS-RAI) and claim form and includes significant changes in the assessment process and schedules, clinical information used to determine case-mix payment rates, and how therapy services are reported.  These changes will impact all aspects of SNF operations including front office, billing, resident assessment, and care planning and delivery processes.  These changes will also interact with other SNF policies that are not changing including:

  • Need for Daily Skilled Care
  • Requirements of Participation and Related Survey & Certification
  • SNF Quality Programs (SNF QRP and SNF VBP)
  • Annual Payment Rate Update
  • Consolidated Billing

The PDPM payment model may also interact with other payers that rely on RUG-based payment methodologies including; Medicaid, Medicare Advantage, and the VA, as well as other alternative payment models and demonstrations including ACOs and bundled payments.

The AHCA Patient Driven Payment Model (PDPM) Academy provides AHCA provider members with a suite of original content, tools, and training options and resources to assist providers in how to be successful in preparing for and implementing the new Medicare Part A PDPM SNF PPS in October 2019. 

Basic versions of many AHCA PDPM Academy copyrighted document resources and webinars will be available to all AHCA provider members at no additional cost at the AHCA PDPM Resources page (see below).  AHCA will also be providing PDPM educational resources customized to the needs of ABM partners at no additional cost (see link at left side of this page).    

For a reasonable fee, AHCA provider members may enroll in the AHCA PDPM Academy to obtain access to more extensive educational opportunities and resources (see link at left side of this page) including:

  • AHCA PDPM Academy 1-day Hands-on Workshop (most states and online)
  • Monthly AHCA PDPM Academy Update Webinars
  • “How-to” Webinars, Instructions, and Case-Examples for AHCA developed PDPM tools

  Additionally, AHCA now offers two online customized SNF PDPM ICD-10-CM diagnosis coding training programs for a separate reasonable fee, including one where registrants can earn coding certification in a 16-hour program (see link at left side of this page).    

AHCA Education and Training Available Now

COPYRIGHT STATEMENT

AHCA PDPM Academy publications, tools, workshops, webinars or other resources have been developed and paid for as a part of your AHCA provider membership  and/or PDPM Academy registration.  These resources are for your facility use only and copyrighted resources should not be distributed outside your organization without AHCA permission.  Please respect the copyright. 

Questions about the contents of AHCA PDPM Academy publications, tools, workshops, webinars or other resources may be directed to pdpm@ahca.org.

For additional information about AHCA visit www.ahcancal.org.

Copyright 2019 American Health Care Association, 1201 L Street NW Washington, DC  20005. All Rights Reserved.  Permission to use, copy and/or distribute any documentation and/or related images from AHCA PDPM Academy publications, tools, workshops, webinars or other resources shall be expressly obtained from AHCA

  • CMS MDS Section GG Training Resources

    Contains 5 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    The SNF PPS Patient Driven Payment Model (PDPM) relies on accurate coding of several MDS Section GG mobility and self-care items that impact the PT, OT, and Nursing component per-diem case-mix payment rates.  This toolkit contains a collection of Section CC training materials that the Centers for Medicare and Medicaid Services (CMS) has provided on their website that may be useful for provider PDPM training of nurses, certified nursing assistants, and therapists. 

  • CMS PDPM-Related SNF QRP Resources

    Contains 34 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    On May 7-8, 2019 the Centers for Medicare and Medicaid Services (CMS) conducted a two-day train-the-trainer session on the October 1, 2019 updates to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP).  Examples of agenda items directly relevant to PDPM include: discussions on how to properly code Section GG of the MDS, Changes in Sections A, I, J, and O of the MDS, PDPM: What is changing and what is not, and Integrated coding & PDPM Case Study.  This PDPM Academy toolkit includes the following CMS resources:

    • May 2019 SNF QRP Provider Training Agenda
    • May 2019 SNF QRP Provider Training Day 1 Part 1 Slides
    • May 2019 SNF QRP Provider Training Day 1 Part 2 Slides
    • May 2019 SNF QRP Provider Training Day 1 Part 3 Slides
    • May 2019 SNF QRP Provider Training Day 2 Slides
    • May 2019 SNF QRP Provider Training
    • May 2019 SNF QRP Provider Training Day 1 YouTube Video Recording *
    • May 2019 SNF QRP Provider Training Day 2 YouTube Video Recording *
    • SNF Quality Reporting Program Training Web Page

    * The CMS YouTube videos are currently not available at this time and AHCA is working with CMS to resolve the issue. 

  • CMS PDPM-Related MDS-RAI Resources

    Contains 1 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    The PDF file labeled “MDS 3.0 RAI Manual v1.17 October 1, 2019” is now available in the Related Links section on the CMS webpage linked to the right.

    Please note this early release is being provided in response to stakeholder feedback. The MDS 3.0 RAI Manual v1.17 contains many updates including information related to the Patient Driven Payment Model. Please check back prior to October 1, 2019 for a final posting which may contain additional updates.  Specific files on the CMS site that are applicable to the PDPM implementation include:

    • MDS 3.0 RAI Manual v1.16 October 1, 2018 – Which is a single PDF file of the entire RAI manual for use as an electronic version with bookmarks that you can click on to take you to each section of the manual.
    • MDS 3.0 RAI Manual v1.16 and Change Tables October 2018 – Which is a traditional set of zip files of the RAI manual and the change tables that crosswalk the changes made to this year’s manual. Note: This is the same material as the first item above, except there are separate files for each chapter or subchapter.
    • MDS 3.0 RAI Manual v1.16 Replacement Manual Pages and Change Tables October 2018 – Which includes replacement pages for this year’s manual changes for those who want to update their existing paper-based manual with just the pages that have changed. It also includes the change tables that crosswalk the changes made to this year’s manual.
    • MDS Forms (Item Sets) v1.16.1 October 2018 – Which included two folders separate the v1.16.1 MDS forms (MDS item sets) into those used in long term care facilities (SNFs and NFs) and those used in swing bed facilities.
    • MDS RAI Manual Appendix B – Which includes updated contact lists for the state and regional RAI/MDS contacts.  
  • Therapy Readiness Self-Assessment Tool

    Contains 1 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    COPYRIGHT STATEMENT

    AHCA PDPM Academy publications, tools, workshops, webinars or other resources have been developed and paid for as a part of your AHCA provider membership  and/or PDPM Academy registration.  These resources are for your facility use only and copyrighted resources should not be distributed outside your organization without AHCA permission.  Please respect the copyright.

    Questions about the contents of AHCA PDPM Academy publications, tools, workshops, webinars or other resources may be directed to pdpm@ahca.org.

    For additional information about AHCA visit www.ahcancal.org.

    Copyright 2019 American Health Care Association, 1201 L Street NW Washington, DC  20005. All Rights Reserved.  Permission to use, copy and/or distribute any documentation and/or related images from AHCA PDPM Academy publications, tools, workshops, webinars or other resources shall be expressly obtained from AHCA

  • PDPM Frequently Asked Questions (FAQs)

    Contains 2 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    Click here to access CMS PDPM FAQs. Updates to the resources will be included as needed.

  • TeamSTEPPS 2.0 for Long-Term Care

    Contains 2 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    The Agency for Healthcare Research and Quality (AHRQ) developed TeamSTEPPS 2.0. TeamSTEPPS was developed by AHRQ and the Department of Defense (DoD) as a teamwork system that offers a powerful solution to improving collaboration and communication within your institution. Teamwork has been found to be one of the key initiatives within patient safety that can transform the culture within health care. Patient safety experts agree that communication and other teamwork skills are essential for the provision of quality health care and for the prevention and mitigation of medical errors and patient injury and harm. 

    Provided as a flexible training kit, TeamSTEPPS 2.0 is an evidence-based program aimed at optimizing performance among teams of health care professionals, enabling them to respond quickly and effectively to whatever situations arise. This curriculum incorporates more than 30 years of scientific research that has been conducted on teams and team performance.

    This curriculum is a customized version of TeamSTEPPS 2.0 for use in long-term care settings. The TeamSTEPPS 2.0 for Long-Term Care Instructor Manual is designed to help you develop and deploy a customized plan to train your staff in teamwork skills and lead a medical teamwork improvement initiative in your nursing home from initial concept development through sustainment of positive changes. Contained within the materials are comprehensive presentations and instructional guides, including short case studies and videos illustrating teamwork opportunities and successes.

    The AHRQ TeamSTEPPS is a resource available in the public domain that aligns with and can help providers address several areas of the AHCA PDPM Academy Core Competencies

    The web address to access the TeamSTEPPS 2.0 for Long-Term Care curriculum is: https://www.ahrq.gov/teamstepps/longtermcare/index.html

     

  • CMS PDPM Reference Resources and Crosswalk Tables

    Contains 4 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    Click here to access the following resources and crosswalk tables provided by CMS:

    • CMS Provider-Specific RUG-IV to PDPM Revenue Impact Estimate File
    • CMS PDPM Resident Classification Step-by-Step Walkthrough Document
    • CMS PDPM ICD-10-CM PT/OT/SLP Component Clinical Category Mapping Crosswalk
    • CMS PDPM NTA Component Comorbidity Mapping Crosswalk

  • AHCA PDPM MDS Accuracy Toolkit – Resident Classification

    Contains 3 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    The AHCA PDPM MDS Accuracy Toolkit – Resident Classification was designed to furnish tools to providers during preparations leading up to PDPM implementation to better understand the specific MDS items and claim information that determine how the five case-mix adjusted component classifications and per-diem payment rates are determined.  All members can access template PDPM MDS worksheets (including ~40 new items providers will report on October 1, 2019), template PDPM workbooks that enable manual determination of resident case mix classifications and rates, and a PT, OT, and NTA variable per-diem and RUG-IV rate tables.  These tools will permit members to compare the relative impacts of PDPM rates versus RUG-IV rates on current residents, which can help in planning changes in operational and clinical processes prior to PDPM implementation.  PDPM Academy Registrants can also access example resident MDS and resident classification workbooks to facilitate team training efforts.  Additional tools and resources to be added as developed.

  • AHCA PDPM Hospital Discharge Toolkit

    Contains 2 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    The AHCA PDPM Hospital Discharge Toolkit was designed to facilitate the collection of clinical information from the referring hospital prior to admission to better assure that information related to a residents SNF care needs upon admission, and appropriate PDPM case-mix group classification, is obtained and documented prior the end of the residents SNF PPS 5-day assessment reference date.  The tools can also be used to help facilitate discussions with referring hospitals regarding how to better coordinate the transfer of health information relevant to PDPM resident classification.  All members can access a SNF pre-admission checklist tool and a reference document identifying all MDS item fields that apply to PDPM case-mix adjusted components.  PDPM Academy Registrants can also access an additional “High-Impact” MDS items reference document.  Additional tools and resources to be added as developed.

  • AHCA PDPM Compliance Guide and Best Practice Model Policies Toolkit

    Contains 1 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    The AHCA PDPM Compliance Guide and Best Practice Model Policies Toolkit will include several tools and resources to help providers prepare for successful transition to PDPM.  These include ideas and tools on how to address compliance risk areas identified by the Centers for Medicare and Medicaid Services, The Office of Inspector General, and other government agencies.  All members can access the Compliance Policies and Procedures Checklist Tool.  Best practice policies be added for PDPM Academy Registrants as developed.

  • PDPM Readiness Toolkit

    Contains 4 Component(s)

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    The AHCA PDPM Readiness Toolkit was designed to facilitate discussions among Skilled Nursing Facility (SNF) management and front-line clinical and support personnel as you begin your journey in preparing your administrative and clinical operations to be successful in the change of the per-diem SNF prospective payment system (PPS) from the current Resource Utilization Groups, Version 4 (RUG-IV) case-mix model to the Patient-Driven Payment Model (PDPM) starting on October 1, 2019.  These files should be shared and reviewed by SNF administrative and clinical staff as part of training efforts.  Additionally, these tools should be used in identifying your baseline readiness status, and conducting gap-analysis as part of planning to implement those changes necessary to be successful under PDPM.   The first file is a 31 slide packet with a cover slide title of “Patient Driven Payment Model (PDPM) Readiness Planning: Background and Methodology”.  This file provides an overview of PDPM and what it means for SNFs, and why and how AHCA identified the need for and developed a PDPM training approach revolving around four Core Competencies for success.  The second file is a more comprehensive 49 slide packet with a cover slide title of “Patient Driven Payment Model (PDPM) Readiness Planning: Core Competencies for Success”.   This file provides more detailed information related to each of the four identified Core Competencies.  The third file is an eight page PDPM readiness considerations checklist document with the title “Core Competencies for Success under PDPM”.  This file identifies very specific questions your administrative and clinical staff should ask and answer within each of the four Core Competencies so that you can identify items where your organization may need to focus efforts prior to October 1, 2019, so that you are best prepared to be successful under PDPM.  

    Learning Objectives:

    1. The document users will understand the importance of beginning the process of a formal Readiness Review in preparation for the October 1, 2019 implementation of the per-diem SNF PPS PDPM payment model to replace RUG-IV.
    2. The document users will be able to describe the four PDPM Core Components for success identified by AHCA through interviews with a diverse array of large and small and for-profit and non-profit member organizations.
    3. The document users will be able to successfully use the “Core Competencies for Success under PDPM” checklists within their organizations to perform gap-analyses to identify operational and clinical areas that will need to be addressed to be successful under PDPM.    

    Who is this for?

    These materials were designed to be useful to all AHCA members that furnish Medicare Part A services under the SNF PPS per-diem payment model, regardless of size or business structure. They were designed to facilitate discussions between administrative and front-line clinical personnel as part of staff education as well as strategic baseline readiness assessment and strategic planning meetings. 

  • Comprehensive Person-Centered Care Planning §483.21

    Contains 1 Component(s)

    Purpose & Intent: To develop a baseline care plan within 48 hours of admission to direct the care team while a comprehensive care plan is developed that incorporates the resident's goals, preferences, and services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.

AHCA PDPM ICD-10-Toolkit

  • Understanding the critical role of malnutrition in the Patient Driven Payment Model (PDPM) for Success

    Recorded On: 02/26/2019

    Efficiency and cost-effective positive nutritional outcomes are critical for success in today’s healthcare environment. CMS will be replacing the current SNF PPS Resource Utilization Group (RUGs) payment model with a new per-diem payment system called the Patient-Driven Payment Model (PDPM) beginning on October 1, 2019. It is critical for success that providers understand where key nutrition related diagnoses are included in the PDPM. This session will discuss collaboration with appropriate healthcare professionals to incorporate systems, processes and documentation for successful financial reimbursement of nutrition related services.

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    How to Register in ahcancalED 

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    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    Efficiency and cost-effective positive nutritional outcomes are critical for success in today’s healthcare environment. CMS will be replacing the current SNF PPS Resource Utilization Group (RUGs) payment model with a new per-diem payment system called the Patient-Driven Payment Model (PDPM) beginning on October 1, 2019. It is critical for success that providers understand where key nutrition related diagnoses are included in the PDPM. This session will discuss collaboration with appropriate healthcare professionals to incorporate systems, processes and documentation for successful financial reimbursement of nutrition related services.

    Objectives:

    After attending this session attendees will be able to:

    • Identify key components for sustainable success with the CMS Patient Driven Payment Model (PDPM).
    • Present key Non-Therapy Ancillary (NTA) Components Diagnostic Criteria and SLP   - Component of Presence of swallowing disorder or mechanically altered diet related to Nutrition.
    • Discuss critical collaborative steps for successful integration of nutrition services into PDPM.

    Presented by:

    Brenda Richardson, MA, RDN, LD, CD, FAND

Coming Soon- More General PDPM Resources Available to All Provider Members

  • AHCA PDPM Case-Mix Grouper Simulator Tool
  • AHCA PDPM Model Job Descriptions Tool
  • AHCA PDPM Therapy Staffing/Contracting Considerations Toolkit 
  • AHCA PDPM Toolkit Updates (as needed) based on CMS FY 2020 SNF PPS PDPM Proposed Rule (estimated Jun 2019 release)
  • AHCA PDPM Toolkit Updates (as needed) based on CMS FY 2020 SNF PPS PDPM Final Rule (estimate Sep 2019 release)    

NCAL AHCA