PDPM CROSSWALK TOOLKIT

Model PDPM reimbursement & data collection with your SNF team.

A DATA-DRIVEN TOOL DESIGNED TO

model PDPM reimbursement

The crosswalk toolkit allows you to classify a skilled Medicare Part A patient into a PDPM Case Mix Grouper (CMG) for each of the 5 components with your Interdisciplinary Team.  Using the digital tool, you will identify the Case Mix Index (CMI) for each and the Case Mix adjusted per diem rate for each component will be automatically calculated based on your facility CBSA (Urban or Rural). A Total Case Mix Adjusted Rate will be calculated for reference and comparison to current rates under RUG IV.

STRATEGIES TO GUIDE ADMINISTRATORS & STAFF TO

simulate new data collection methods

In order to optimize the plan of care for a patient, Medicare Part A patient classification under PDPM should be completed as early as possible. The Crosswalk tool was designed to allow interdisciplinary SNF teams to practice and model data collection for proper classification so that you are prepared for the October 1st launch date.

​Teams can start with Crosswalk modeling after the 5 Day has been completed and as you get comfortable with the data, you can begin earlier and earlier, working towards beginning on day one. The earlier the information is gathered and you can estimate the patient's CMG for each component, your chances of improving the patient's outcome increase.

PDPM PERSONALIZED TOOLKIT

what is included?

The contents of this toolkit are assembled and customized for each SNF to allow leadership and interdisciplinary teams to model reimbursement and simulate new data collection requirements to optimize outcomes under PDPM.

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The Personalized PDPM Crosswalk Toolkit Includes

• Interactive modeling tool, loaded with facility-specific CBSA data

• Clinical category mapping tool

• Guides for coding requirements for accurate reimbursement

• 30-minute recorded webinar overview of the PDPM final rule

• PDPM references 

• Strategic considerations and additional tool functions