The PDPM Physician Toolkit provides the essential information and query process tools providers need to know to effectively partner with SNFs in caring for Medicare residents under PDPM. This comprehensive tool-kit includes:
- Physician Training Guide which overview of reimbursement under the new model, key coding criteria, NTA component items and point system, key elements of the PT, OT, SLP and Nursing Components, MDS Assessment Changes, the Variable Per Diem and Interrupted Stay Policy under PDPM, The Administrative Level of Care Presumption, and physician targeted guidance on best practices for effective collaboration with the SNF care team including guidance surrounding orders, physician signatures, the history and physical, diagnosis specificity, effective communication processes, and managing complex care plans. This professionally formatted PDF document allows your facility to add your logo for customized branding. This document allows for a single facility purchaser to reprint and share this resource with the purchasing facility medical director and other affiliate physicians.
- Editable Provider Query Process Policy Template which provides a policy template for using a query process to enhance compliance with billing/coding rules and to serve as an educational tool for providers and facility staff. The query process may be used in situations such as insufficient documentation of a specific condition in the presence of clinical indicators that a diagnosis is present, a treatment documented without the presence of a diagnosis noted, for clinical validation of a diagnosis, etc. This template may be edited to meet specific parameters of the facility and may be used by a single purchasing facility .
- Provider Query Process Form with documentation guidance in a pdf-fill-in form to be used when implementing the Provider Query Process