Nutrition PDPM Program

Optimizing Care and Reimbursement with PDPM Services

What is PDPM?

The Patient-Driven Payment Model (PDPM) is Medicare’s current payment system for skilled nursing communities. Unlike prior systems that focused on volume of therapy provided, PDPM bases a community's reimbursement on a residents’ clinical needs and characteristics - which in turn encourages personalized, high-quality care.

At DiningRD, we are dedicated to helping your community deliver the highest quality nutritional care. Our expert dietitian consultants can support early detection of residents’ nutritional needs and ensure comprehensive, accurate documentation - which is key to achieving reimbursement for enteral nutrition, obesity, and malnutrition. By aligning with your goals to improve care outcomes, we can help you maximize reimbursement opportunities through effective use of the PDPM program.

Leveraging a DiningRD dietitian consultant can help you:

• Prevent payment denials by accurately coding Non-Therapy Ancillary conditions such as malnutrition, obesity, enteral feeding, and IV therapy

• Avoid missed reimbursements by ensuring timely nutrition assessments and screenings within the 5-day MDS window

• Exceed regulatory requirements with comprehensive documentation that supports MDS coding

• Maximize reimbursement while simultaneously enhancing resident outcomes