To calculate a resident's Patient Driven Payment Model (PDPM) classification necessary for reimbursement, the MDS assessment data used includes:
1. Nursing and therapy needs: This data assesses the resident's requirements for nursing care and therapy services, such as physical therapy, occupational therapy, and speech therapy.
2. Medical diagnosis and ADL status: Information about the resident's medical conditions and ability to perform Activities of Daily Living (ADLs) like eating, bathing, dressing, toileting, transferring, and continence is crucial for determining the PDPM classification.
3. Resident behavior and cognitive status: The assessment of a resident's behavior patterns and cognitive function plays a role in identifying the level of care needed and thus influences the PDPM classification.
It's important to consider these factors collectively to determine the appropriate PDPM classification that reflects the resident's care needs accurately for reimbursement purposes.
