Interim Payment Assessments: Opportunities & Pitfalls

PDPM uses the 5-day MDS to establish the “Composite Rate” for the entire benefit period. However, changes in patient condition allows SNFs the opportunity to reassess and change scores. The IPA is an optional tool (per the 2019 Final Rule). While it can serve as a powerful payment driver, compliance will require continuous monitoring of qualifying clinical conditions by professionals who are able to make the distinction between opportunity and oblivion, given the inverse relationship among Component rate drivers. This session will provide guidance to ensure your IPA strategy is sound and beneficial – to both compliantly enhance revenue and improve operational efficiency.