Introducing PDPM Precision RT Assessments: Queued Up, Individualized Respiratory Assessments
Gregory Pino
President – New Jersey Respiratory; Co-Founder – Dynamic Respiratory Services; Member – Pinnacle HME
The release of PDPM in 2019 provided a path for respiratory therapy programs to be formalized in SNFs through reimbursement incentives. We launched DynamicRT on day one of PDPM to help SNFs drive utilization and compliance. The journey has been long but continues to intensify with more states and payers adopting the PDPM grouper.
Recent audit trends have highlighted an insight that many have long suspected: it’s not just about delivering respiratory therapy. Meeting minimum documentation requirements and achieving better outcomes is not enough to secure reimbursement. It's about how well we document what and why we are doing it for each individual patient. We’ve seen patients with identical clinical needs face different audit outcomes purely because of documentation quality. It’s clear that facilities need to move beyond checking boxes and focus on creating detailed, individualized assessments that genuinely reflect the care being provided.
But let’s be real—this is easier said than done. So many challenges exist that are higher on the priority list before ensuring quality assessments and thorough documentation. We get it, and we are working on solutions that work in the real world.
PDPM Precision RT Assessments
That’s why we’re launching PDPM Precision RT Assessments on September 1st. This tool queues up individualized assessments that include all the necessary elements for audit readiness. These assessments aren’t just generic forms—they’re created uniquely for each new admission. They provide a narrative that your team can review, build upon, and post within minutes, making the process both efficient and effective.
This isn’t about adding more to your already full plate; it’s about prompting documentation that is smarter and more efficient. By integrating these assessments directly into your EMR system or providing them as hard copies, we ensure that your documentation is both thorough and easily accessible, reducing the risk of denials and improving overall patient outcomes.
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The Bigger Picture
No one likes audits. They can be frustrating, especially when you’re seeing an uptick in denials. But here’s the thing—these audits are pushing us to improve care, to be more diligent, and to truly capture the value of respiratory therapy. It’s a chance to elevate not just our compliance, but the quality.
With more payers embracing PDPM, getting respiratory therapy documentation right is critical. It’s not just about securing reimbursement; it’s about reducing readmissions and improving patient outcomes in a meaningful way. Auditors are there to ensure we maintain high standards, and with PDPM Precision RT Assessments, we’re equipped to meet and exceed those standards.
Looking Ahead
At Dynamic Respiratory, our mission has always been to support SNFs in mastering the complexities of respiratory care under PDPM. The introduction of PDPM Precision RT Assessments is a major step forward in this journey.
Let’s connect and explore how we can help you elevate your respiratory therapy program, ensuring compliance and better patient care.
-Greg
MDS Reimbursement Specialist/Therapy Management/Quality Assurance
7 个月This is amazing! Great tool for SNF's to utilize and build on!