Maximizing Reimbursement through Strategic MDS Scheduling under PDPM

The section on "Scheduling to Maximize Reimbursement" within the context of MDS and PDPM (Patient-Driven Payment Model) under PPS (Prospective Payment System) is not explicitly outlined in the portion of the document reviewed. However, the guidelines and instructions provided throughout the manual emphasize the importance of accurate and timely assessment submissions to optimize reimbursement rates under PDPM. The manual meticulously details how to conduct various assessments, including the scheduling and coding instructions necessary for compliance and maximization of reimbursement opportunities.

Given the complexity and specificity of MDS assessments under PDPM, facilities are encouraged to:

• Carefully plan and execute assessment schedules to align with PDPM requirements.
• Utilize the comprehensive assessment strategies outlined in the manual to capture resident conditions accurately.

Ensure timely submission of assessments to avoid financial penalties and to leverage the PDPM model for optimal reimbursement