Register for a Complimentary Webinar on Navigating the MN Case Mix Reimbursement System
Register for our complimentary CE webinar*, “Optimizing Case Mix and PDPM Outcomes: Leadership Strategies for Success in Minnesota,” for an insightful overview on how to effectively navigate the MN Case Mix Reimbursement System. When: November 25, 2025 | 1 PM CT Presenters: Colleen Toebe, MSN, CWCN, RAC-MTA, RAC-MT, DNS MT – Vice President of Clinical...
Real-World Scenarios: Where PDPM Dollars Are Won or Lost
Insights from Scott Heichel RN, RAC-MT, RAC-CTA, DNS-CT, IPCO, QCP, ICC, Director of Reimbursement and Education, Pathway Health PDPM success includes connecting the dots between what’s happening on the floor and what’s being documented. As an NHA, you don’t need to code the MDS yourself, but you do need to lead the team, ask the right questions, and...
Real-world Examples: Missed Areas on the MDS that Impact Reimbursement under PDPM
Insights from Scott Heichel RN, RAC-MT, RAC-CTA, DNS-CT, IPCO, QCP, ICC, Director of Reimbursement and Education, Pathway Health Continuing on our exploration of impacts to PDPM, today we are sharing additional real-world examples of frequently missed areas on the MDS that can significantly impact reimbursement under the Patient-Driven Payment Model (PDPM). 1. Swallowing Disorders (Section K) Example: A...
Unlocking Reimbursement Potential: Avoiding Common MDS Pitfalls Under PDPM
Insights from Scott Heichel RN, RAC-MT, RAC-CTA, DNS-CT, IPCO, QCP, ICC, Director of Reimbursement and Education, Pathway Health Since its implementation in 2019, the Patient-Driven Payment Model (PDPM) has transformed how skilled nursing facilities (SNFs) are reimbursed under Medicare Part A. By shifting the focus from therapy minutes to resident characteristics and clinical complexity, PDPM aims to better...
Reimbursement QuickTIP: Get Paid for the Care and Services you Provide
During the COVID-19 pandemic, post-acute care leaders have had their days filled with sparse staffing, infection control surveys, sick residents and staff, and distraught families. Now that vaccines are rolling out to our residents and employees, we can begin to look beyond making it through the day and think about the overall health of...
Five Days and Counting Until PDPM
As the industry anticipates the implementation of a completely new Medicare payment classification system, it is important to keep in mind a few fundamental concepts: 1) The basic Medicare program benefits and coverage criteria have not changed. 2) The MDS still follows a standard process for scheduling, data collection and interpretation. 3) An accurate and...
Fireside Training Courses in May
Pathway Health offers multiple opportunities to strengthen your education in May. Register now for the following Fireside Training classes: Prepare for Patient Driven Payment Model (PDPM), presented in Lake Elmo, MN, May 9, 9 a.m. – 4 p.m. 1,2,3 The Final Phase is Near – Strategies for Implementation of Phase 3, presented in Lake Elmo,...
Register for FREE Webinar on PDPM Need-to-Knows
Back by popular demand! Pathway Health’s exclusive, FREE webinars fill up in days! Secure your spot while it’s hot! Pathway Health’s Karolee Alexander presents a special, FREE webinar on Patient-Driven Payment Model Solutions. The webinar, titled, “Patient-Driven Payment Model: What You Need to Know Now,” will provide participants with an overview of the new...
Envisioning the Future with AANAC and AADNS in Orlando
Pathway Health’s Susan LaGrange, Karolee Alexander, Colleen Toebe, Cindy Perrault, Louann Lawson, and Leah Killian-Smith will be exhibiting at the 2019 AANAC and AADNS Annual Conference hosted by the American Association of Nurse Assessment Coordination in Orlando, FL, from April 3 – 5. Susan LaGrange will also present at the event. This will be the...
What Do You Really Need to Do Now to Prepare for PDPM?
When the Medicare payment model changes for nursing homes on October 1, 2019, the drivers of reimbursement will be dramatically changed. Under the current payment model, the amount of therapy provided to the resident in a seven-day period is the major determinant of the amount of daily payment the nursing home will receive from Medicare....