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Pdpm calculation worksheet for snfs - cms

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Html), which maps a resident's primary diagnosis as recorded on the first line of mds item i8000 to the 10 pdpm primary diagnosis clinical categories. some icd- ...
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PDPM Calculation Worksheet for SNFs 1This document is a draft worksheet that is intended to aid stakeholders in their review of the FY 2019 SNF PPSNotice of Proposed Rulemaking (NPRM) and in the development of comments on the NPRM. This worksheetfollows the logic outlined in the NPRM and accompanying Technical Report for consideration and comment bystakeholders.The purpose of this Patient-Driven Payment Model (PDPM) calculation worksheet is toillustrate how a resident is classified for payment purposes and how per diem payment iscalculated under PDPM. This document is a draft worksheet that is intended to aid stakeholdersin their review of the FY 2019 SNF PPS Notice of Proposed Rulemaking (CMS-1696-P)(NPRM) and in the development of comments on the NPRM. We have carefully reviewed theworksheet to ensure that it represents the resident classification logic presented in the NPRMand accompanying Technical Report.In the PDPM, there are five case-mix adjusted components: Physical Therapy (P...