CMS updated several of its resources on PDPM last week. Here is the link to their resource page. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/PDPM.html Many of the revisions do not reflect “new” information, but rather insuring all the documents are in alignment with each other, so more of a “clean-up”. The ICD-10 mappings file was also updated and does reflect some changes – most importantly NEW codes added to the Return to Provider List.
We are pleased to offer access to these research “1-pagers” on the value of physical activity and role of physical therapists in preventing falls or reducing fall risk; value of physical therapists in reducing readmissions; and the value of early mobilization.
Home Study Modules Now Available on the APTA Learning Center
Physical Therapy and the Aging Adult: Limb Loss in Older Adults (Just Released!) Details at
Management of Falls and Fall Prevention in Older Adults
Tool Kit for the Prevention of Diabetic Foot Ulcers
Assistive Devices, Adaptive Equipment, Orthotics, and Wheeled Mobility for the Older Adult
Bariatric Obesity in the Older Adult
End of Life Ethics
Breast Cancer Related Lymphedema
Biopsychosocial and Environmental Aspects of Aging
Full details can be found at http://geriatricspt.org/?dd90jb
Medicare payment system is in the midst of a paradigm shift—away from the fee-for-service payment structure, in which providers are rewarded solely by the volume of services provided, and toward a structure that holds providers accountable for patient outcomes and costs. This move to value-based care is intended to advance the goals of health care's "triple aim"—improving the patient experience of care (including quality and satisfaction), bettering the health of populations, and reducing the per-capita cost of health care.
As part of this effort, CMS has finalized significant changes that will affect the home health and skilled nursing facility payment systems—beginning in FY 2020 for SNFs and CY 2020 for home health agencies. These payment systems align payment with patient characteristics and patient needs, and eliminate the connection between therapy utilization and reimbursement. CMS finalized the Skilled Nursing Facility Patient-Driven Payment Model (PDPM) and Home Health Patient-Driven Groupings Model (PDGM) in 2018.
Links to two PDPM Q&A sessions are below:
Tuesday, March 12: http://apta.adobeconnect.com/p4jqrt2c5467/
Thursday, March 14: http://apta.adobeconnect.com/pdvlv2jsjbiu/
APTA staff and members of the Home Health Section Government Affairs committee recorded an overview of the Patient-Driven Groupings Model and recorded 2 live Q&A sessions.
Challenging the Myths Associated With PDPM and PDGM - 11/15/18
Unfortunately, there are a number of myths about these 2 new payment systems, shaping biases and working against the long-term success of these models.
APTA Recorded Webinar via Adobe Connect
How Changing Post-Acute Payments Impact the Role of PT- 10/11/18
Recorded Webinar (October 2018) Free to APTA Members via APTA Learning Center
With aging might come changes in older adults’ ability to get around and do the things they want and need to do. These mobility changes may affect older adults’ health and independence and are related to an increased risk of falls and motor vehicle crashes—the two leading causes of older adult injury.
The CDC released a new mobility planning tool to help older adults create a personalized MyMobility Plan. This planning tool, along with a supporting fact sheet about medicines that might increase risk of a fall or motor vehicle crash, helps older adults plan for mobility changes similar to the way that many plan financially for retirement.