Patient-Driven Payment Model (PDPM):
Non Therapy Ancillaries (NTA) - Understanding the Facts
This session is intended to provide insight and information on the new Centers for Medicare and Medicaid Services (CMS) Medicare reimbursement methodology (PDPM) that will go into effect October 2019 (Fiscal Year 2020). We will provide an overview of Non-Therapy Ancillary (NTA) Case Mix component, which accounts for variances in cost of care for residents masked by rehabilitation utilization, as well as identify and discuss the top 50 conditions or services that are the most costly. Focusing on NTA coding of MDS item sets along with utilizing ICD-10 CM codes to determine the resident’s NTA comorbidity and extensive services score will assist in establishing a strategic work plan early to support the development of NTA documentation.
- Provide an overview of the Patient Driven Payment Model (PDPM) specific to Non-Therapy Ancillary (NTA).
- Identify MDS item sets and ICD-10 CM codes used to determine the resident’s NTA comorbidity score.
- Discuss strategies to develop a work plan to getting systems ready and in place to support NTA documentation.
Paola DiNatale, MSN, RN, NHA
Senior Healthcare Specialist, PointRight
Paola DiNatale, RN, MSN, NHA, is a Senior Healthcare Specialist at PointRight Inc., providing her expertise in quality improvement services and clinical program development. She is a national and regional speaker on a broad range of long term care topics. Paola’s extensive nursing career ranges from acute hospital care nursing, to post-acute care settings operations, education and consulting.