Insight MDS PDPM Snapshot

PDPM is complex. But having the right reference at your fingertips shouldn't be. The PDPM Snapshot by Insight MDS & Therapy Solutions is a crisp, professionally designed two-page quick reference guide that puts every critical PDPM component — all five case-mix groups, qualifying criteria, CMI weights, GG scoring, NTA points, and HIPPS code logic — in one place, formatted for fast, confident use at the MDS desk, in care conferences, during interdisciplinary team meetings, and at every new admission review.

Built by experienced MDS professionals who live and breathe PDPM every day, the PDPM Snapshot is designed to be the go-to cheat sheet your MDS coordinators and clinical leadership reach for every time they need a fast, reliable answer — without digging through the RAI User's Manual or CMS calculation worksheets.

What's covered in this two-page guide:

🔢 HIPPS Billing Code Breakdown — A clear breakdown of all five HIPPS code characters — PT/OT case-mix group, SLP case-mix group, nursing case-mix group, NTA case-mix group, and assessment indicator — so your team always understands exactly what drives each character of the billing code

🏃 PT & OT Component — Complete case-mix group tables for all four clinical categories — Major Joint Replacement or Spinal Surgery, Other Orthopedic, Medical Management, and Non-Ortho Surgery & Acute Neurologic — with GG score ranges, group codes, and both PT and OT CMI values for every group

📋 GG Function Score Key — A quick-reference scoring table showing exactly how each MDS GG response code translates to function score points — essential for understanding how GG coding drives PT, OT, and nursing case-mix placement and for identifying IPA assessment opportunities

💬 SLP Component — Full SLP case-mix group and CMI reference covering all combinations of acute neuro conditions, SLP comorbidities, cognitive impairment, swallowing disorders, and mechanically altered diets — including a complete SLP comorbidity listing and cognitive impairment guidance

🏥 Nursing Component — A complete nursing case-mix category reference covering Extensive Services, Special Care High, Special Care Low, Clinically Complex, Behavior & Cognition, and Reduced Physical Function — with qualifying criteria, depression indicators, nursing function score ranges, HIPPS codes, and CMI values for every category

💊 NTA Component — Full NTA scoring reference with point values for every qualifying condition and extensive service, NTA score-to-group conversion table, and CMI values for all six NTA groups — everything your team needs to accurately calculate and maximize NTA capture at every admission

Why your team needs this:
Whether you are completing a new admission 5-Day MDS, evaluating a resident for an Interim Payment Assessment, preparing for an IDT care conference, or simply trying to quickly verify a case-mix placement during a busy morning — the PDPM Snapshot gives your entire clinical and MDS team a single, reliable reference they can keep at their desk, bring to meetings, and use with confidence every single day.

Particularly valuable for identifying IPA assessment opportunities — the PDPM Snapshot gives your MDS coordinators a fast, clear view of every component that could trigger a higher case-mix group after a significant change in condition, helping your facility capture the acuity your residents actually present and protect reimbursement throughout the stay.

Cross-referenced against the CMS PDPM calculation methodology and RAI User's Manual. PDPM specifications and CMI values are updated with each federal fiscal year — always verify current values against the CMS FY SNF PPS Final Rule in effect at the time of assessment.

📌 Licensed for use by one facility only. Not for redistribution or resale. Full Terms & Conditions provided upon purchase.

Insight MDS & Therapy Solutions
[email protected] | insightmds.com | (561) 223-9122