Recorded Webinar - PDPM Education Series - Session 5

Patient-Driven Payment Model (PDPM):
Financial Moving Parts

Recorded Session

This fifth session will discuss the components of PDPM and how they contribute to the overall payment rate.  We will dig into the Variable Adjustment Factor for the PT/OT and NTA components, and show examples of how the per diem rate changes over the length of the Medicare stay.  In addition, we will discuss the Interim Payment Assessment (IPA) and Interrupted Stay Policy: two aspects of PDPM that may significantly affect reimbursement.  Facility policy and care coordination processes play a role in ensuring PDPM success; we will outline opportunities for improvement and strategies for facilitating these changes in your organization

Learning Objectives:

  • Describe the aspects of PDPM that affect per diem rates and overall reimbursement
  • Understand the potential impact of variable reimbursement on facility budget planning and resource allocation
  • Apply strategies for getting systems in place to mitigate financial and compliance risk



Jennifer Gross, BSN, RN-BC, RAC-CT, CPHIMS
Senior Healthcare Specialist, PointRight

Jennifer Gross's experience in the nursing field includes work in psychiatric rehab and in long term care as a staff nurse, MDS coordinator, and as a consultant. Her role at PointRight is to support our clients in understanding the intricacies of the MDS, enabling them to maximize quality of care, identify residents at risk, and prevent decline. Jennifer provides ongoing clinical education and client support for users of our web-based data analytics and clinical assessment tools. She is certified by the American Association of Nurse Assessment Coordinators, the Healthcare Information and Management Systems Society, and the American Nurses Credentialing Center.   Jennifer has a Bachelor of Arts in Psychology from Boston University and a Bachelor of Science in Nursing from the University of Massachusetts at Boston.


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.

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