In the PDPM, there are five case-mix adjusted components: PT, OT, SLP, NTA, and Nursing. Each patient is to be classified into one and only one group for each of the five case-mix adjusted components. In other words, each patient is classified into a PT group, an OT group, an SLP group, an NTA group, and a nursing group.
In the PDPM, there are five case-mix adjusted components: Physical Therapy (PT), Occupational Therapy (OT), Speech-Language Pathology (SLP), Non-Therapy Ancillary (NTA), and Nursing. Each resident is to be classified into one and only one group for each of the five case-mix adjusted components.
What are the five case mix adjusted components in PDPM?
There are five case mix adjusted components. Each of the five components will have a calculated per diem payment rate that will be added together with a sixth component, the non-case mix rate component, to get the total per diem patient rate. The first two components in PDPM are Physical therapy (PT) and Occupational therapy (OT).
What are the five components of patient classification under PDPM?
Patient Classification Under PDPM 13 Under PDPM, each patient is classified into a group for each of the five case- mix adjusted components: PT, OT, SLP, Nursing and NTA Each component utilizes different criteria as the basis for patient classification:
How many case mix groups are there for PT and OT?
There are 16 groups for each PT and OT case-mix group as shown in the chart below: To identify the case mix group the patient will fall into, the first step is to identify the primary diagnosis the patient was admitted to the Skilled Nursing Facility (SNF).
What are the mechanisms for the payment components of PDPM?
The mechanisms for these two therapy components are similar and will be discussed together. There are two primary factors for payment, a base rate and a case-mix index (CMI) value for each classification group within the case-mix adjusted payment components that will be determined under PDPM.