PDPM Revenue Mastery: The MDS Coordinator's Guide to Maximizing Reimbursement Through Accurate Coding and Documentation (The MDS Excellence Series)

In the era of the Patient-Driven Payment Model (PDPM), accurate clinical characterization is the engine of facility revenue. PDPM Revenue Mastery is the definitive resource for MDS Coordinators and healthcare leaders looking to move beyond technical compliance into true reimbursement mastery. By shifting focus from volume-based therapy minutes to the clinical characteristics of the resident, this guide demonstrates how to capture every legitimate dollar earned through quality care.This comprehensive manual provides a deep-dive into the five case-mix adjusted components—Physical Therapy, Occupational Therapy, Speech-Language Pathology, Nursing, and Non-Therapy Ancillary (NTA) services. MDS professionals will learn the strategic selection of primary diagnoses, the nuances of Section GG functional scoring, and the critical "golden rule" of documentation that protects facilities during audits. Whether you are a new coordinator overwhelmed by regulatory nuance or an experienced professional seeking to close revenue gaps, this book offers the tools, case studies, and ethical frameworks necessary to become a leader in revenue integrity. Read more