PDPM and HelpCare+

Software Support

We've got you covered!

New MDS items, major changes in assessment scheduling, emphasis on ICD-10 coding, multiple case-mix adjusted payment groups, per-diem rate adjustments, comorbidities, and concurrent and group therapy limits – it's a lot to take in.

PDPM represents a significant overhaul to the SNF Prospective Payment System. Now more than ever you need software that's easy to use and seamlessly integrates clinical components with payment requirements. We get it and we've got what you need.

Let our HelpCare+ software suite help you take the worry out of PDPM.

Your partner for a seamless transition to PDPM!

What to Expect from PDPM

PDPM or the Patient-Driven Payment Model will be replacing RUG-IV on October 1, 2019. The changes are significant and represent a major shift in the way that SNF residents are categorized and how reimbursement is calculated. New assessments and scheduling requirements, greater emphasis on ICD-10 coding and per-diem rate adjustments are just a few of the changes being introduced.

Read the full article here...

PDPM Quick Fact:


Just like RUG-IV, PDPM uses a five-character HIPPS (Health Insurance Prospective Payment System) code for billing purposes.

The PDPM HIPPS code reflects the resident's classification within each payment component and also indicates the AI or Assessment Indicator for the type of MDS used to generate the code.

The payment components of PT and OT will always have the same score or group code, allowing them to be reflected in the HIPPS code as a single character. But PT and OT will have different payment rates.