The Patient Driven Payment Model (PDPM) for occupational therapy practitioners in SNFs is a hot topic these days. I get questions all the time asking, "What does PDPM mean for therapy?" and "What is PDPM's impact on therapy services?" I have the privilege of listening to your stories on how this change of payment systems has impacted services provided to our patients and what it's done to your job. So I had to do something...
I was fortunate to be able to get some of your questions answered by Sabrena McCarley MBA-SL, OTR/L, CLIPP, RAC-CT, QCP, who not only presents some of the webinars for AOTA on PDPM, but eat, breathes and sleeps PDPM because of her positions as the Director of Quality, RehabCare, a Board Member at Large of NARA (National Association of Rehab Providers and Agencies), a Medical Advisory Panel Member for the Living In Place Institute and an AOTPAC Ambassador for the AOTA.
She was able to answer those burning questions, cleared up some misconceptions, validated the challenges we are facing and provided some concrete examples on what we can do as occupational therapy professionals to help us maintain our professionalism, ethics and feel empowered through these changes.
In addition, with the changes, many facilities are increasing group therapy sessions and many of you are looking for group therapy ideas. So, I decided to put together a list of suggested group ideas to get you going, as well as explain how to justify how working in a group can still target those performance components needed for our patient's to achieve their goals.
→ 3 Key Takeaways from the Episode
- PDPM is working on transitioning from volume based therapy to value based therapy.
- Good evaluations are crucial for painting the picture of the patient to maximize reimbursement and patient benefits.
- ICD-10 diagnosis coding is imperative for determining the patient's per diem rate.
Resources from the Show:
FAQs on PDPM for practitioners to easily access in order to understand what PDPM is and to “arm” themselves with the regulations when speaking with their employer: https://www.cms.gov/medicare/
People are searching for group treatment ideas, so some resources include:
- I created a list of some group therapy ideas and ways to work on components while still focusing on the patient's goals here to download for free,
- You can become a Learning Lab member with tons of group ideas and brainstorming how to make groups effective, client centered and (dare I say it?!?) FUN and
- I also share group ideas from time to time on Instagram, like this one below, so feel free to follow me for more:
View this post on Instagram
If you are a Learning Lab member, be sure to get the low down on how to document group and concurrent therapy sessions for your patients individually here.
Thank You For Listening
I really appreciate you choosing to listen to and supporting the Seniors Flourish podcast. If you enjoyed today's show, please share it and taking a minute to leave an honest review and rating for the show in iTunes. It really helps in reaching fellow OT practitioners, students and those curious about the OT profession.
Finally, don't forget to subscribe to the podcast in iTunes to make sure that you never miss an episode!