PDPM payments are on the way!
CAHF has received confirmation from Noridian that PDPM
claims are now being processed.
There are still some claims that are being held because of multiple line items for revenue code 0022. This may be caused
by a number of factors, including multiple assessments (i.e. 5-day and IPA), and some software packages (including PCC) that split into two line items on the claim
when a room change occurs.
If your software package automatically creates multiple line items on
the claim due to room changes you can manually edit the claim before submission
to correct this issue.
You can learn more about PDPM HIPPS coding on page seven of
CMS' PDPM Frequently Asked Questions. Page three
of this CMS document provides a longer overview of the coding for your background.
Organizations should review their remittances from Noridian
to ensure payment is as expected. If you detect any payment errors, please follow up with Noridian and forward them to CAHF for our
Your feedback is needed.
Members: Please take a few minutes to complete our short PDPM Implementation Survey to give us feedback on how the transition is going for you.
The survey will be used in part to inform the PDPM
Panel discussion at the CAHF Annual Convention in November as well as to help us create further training and/or resources needed to best support
our members during this transition.
Staff contacts: Jeff Sandman, 916-432-5180 or Jennifer Breen, 916-432-5204