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513
IPAs: The Secret Weapon in Your Arsenal for Patient-Driven Payment Model (PDPM)
SNF/LTC
Interim Payment Assessments, or IPAs, are a critical piece to achieving accurate reimbursement under the Patient Driven Payment Model (PDPM). Providers need to load their PDPM arsenal by understanding how IPAs are correctly used and the risk associated with missing IPAs when they are indicated. Additionally, all providers will have the potential for denials and repayment based upon correctly setting or not setting IPAs per the regulations and additional CMS guidance. Participants will learn the regulations that guide IPAs, additional understanding that has come from recent PDPM practice, along with the clinical strategies for accurately capturing them when clinically indicated. This session will include a description of the reimagined Stand Up Meeting process to guide your team to hone their skills at identifying and scheduling IPAs, and an interactive portion to test your new IPA targeting strategies.
- Describe how and when IPAs should be created and scheduled to propel accuracy of reimbursement under PDPM.
- Explain the risks associated with the timeliness of scheduling IPAs, including best practice strategies.
- Predict the financial implications and risk liabilities associated with IPAs in light of clarification from CMS.
Melissa Brown, OTR/L, CDP, CSRS, Chief Operating Officer, Cumberland, MD
Melissa (Sabo) Brown is the chief operating officer with Gravity Healthcare Consulting. An occupational therapist with more than 15 years of experience across the health care spectrum, Brown specializes in skilled nursing and long-term care settings. A self-described "PDPM Nerd" she has studied more than 3,500 pages of regulations and guidance from CMS to supply providers with key strategies and analysis for success under the new payment model, while always striving for excellence in care. She has served as a clinical liaison and compliance officer for several rehabilitation services companies and understands well the challenges that skilled residents face every day. She specializes in strategizing through regulatory changes and burdens to help communities provide outstanding clinical care while achieving operational success.
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