Know Your Value!
On October 1, 2019, skilled nursing facilities (SNFs) will implement
payment model (PDPM) for Medicare reimbursement, which bases payment
for patients with speech-language pathology needs on their clinical characteristics.
Here are some ways speech-language pathologists (SLPs) can demonstrate their value
in this new payment model.
Success under PDPM will require SLPs to assist in the identification of patient
SLPs play a critical role in identifying patients for treatment
and determining their plan of care. Comprehensive
coding that recognizes all diagnoses and comorbidities/complexities
Payment under PDPM will require SLPs to help SNFs maintain high-quality.
Therapists play an imperative part in quality improvement and
avoiding payment adjustments under the value-based purchasing program (VBP), the
quality reporting program (QRP), and Nursing Home Compare.
Involve SLPs in the completion of the Minimum Data Set (MDS)
Engaging SLPs in the completion of relevant sections of the minimum
data set (MDS) ensures accuracy
of the data, helps identify patients who need speech-language pathology services,
and facilitates interprofessional practice. SLPs can contribute to this process
either directly or in consultation with the MDS coordinator.
- Section K: Swallowing and Nutritional Status
- K0100A Loss of liquids/solids from mouth when eating or drinking
- K0100B Holding food in mouth/cheeks or residual food in mouth after
- K0100C Coughing or choking during meals or when swallowing medications
- K0100D Complaints of difficulty or pain with swallowing
- K0100Z None of the above
- K0510C2 Mechanically Altered Diet While a Resident
- Sections B & C: Cognition
- C0200 Repetition of three words
- C0300 Temporal orientation
- C0400 Recall
- B0100 Coma and completely dependent
or ADL did not occur
- C1000 Severely impaired cognitive
skills (C1000 = 3)
- B0700, C0700,
- Two or more of the following:
- B0700 >0 Problem being understood;
=1 STM problem;
- C1000>0 Cognitive skills problem; and
- One or more of the
- B0700 >=2 severe problem being understood;
- C1000 >=2 severe cognitive
- Sections I & O: Clinical Category
- I4300 Aphasia
- I4500 CVA, TIA, Stroke
- I4900 Hemiplegia or Hemiparesis
- I5500 Traumatic Brain Injury
- I8000 Laryngeal Cancer
- I8000 Apraxia
- I8000 Dysphagia
- I8000 ALS
- I8000 Oral Cancers
- I8000 Speech & Language
- O0100E2 Tracheostomy Care
While a Resident
- O0100F2 Ventilator or Respirator
While a Resident
SLPs help prevent Medicare audits by ensuring claims and documentation are complete
and accurate. SLPs play a valuable role in managing:
- Changes in payment that result from changes in the
coding or classification of SNF patients versus actual changes in case mix.
- Changes in the volume and intensity of therapy services
provided to SNF residents under PDPM compared to resource utilization group (RUG)
- Compliance with the group and concurrent therapy
- Any increases in the use of mechanically altered
diet among the SNF population that may suggest that beneficiaries are being prescribed
such a diet based on facility financial considerations rather than a clinical need.
- Any potential consequences (e.g., overutilization)
of using cognitive impairment as a payment classifier in the speech-language pathology
- Facilities whose beneficiaries experience inappropriate
early discharge or provision of fewer services (e.g., underutilization due to the
variable per-diem adjustment).
- Stroke and trauma patients, as well as those with
chronic conditions, to identify any adverse trends from application of the variable
- Use of the interrupted-stay policy to identify SNFs
whose residents experience frequent readmission, particularly facilities where the
readmissions occur just outside the 3-day window used as part of the interrupted-stay
- Changes in quality reporting performance and star
ratings that could indicate a decline in quality or patient satisfaction.