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PDPM update: Nov. 21 webinar and reporting MACs experiences

IHCA and AHCA have compiled the latest Patient-Driven Payment Model (PDPM) news, including a webinar this Thursday, Nov. 21, a reminder to report any Medicare Administrative Contractors (MACs) miscommunication, as well as other resources.

Upcoming all-member PDPM status update webinar
Mark your calendar for the next upcoming all-member PDPM Status Update webinar this Thursday, Nov. 21 from 2:00 – 3:00 p.m. CST.

Communicate all MACs experiences
AHCA is still hearing about mixed messaging with MACs. All MACs should be processing single Health Insurance Prospective Payment System (HIPPS) code claims and accepting multi-HIPPS code claims but holding them and indicating that multi-HIPPS code claims will be processed this week. If your MAC is sharing different information, please alert AHCA at so CMS can be notified.

Use the member payment experience form. Please continue to complete AHCA’s member payment experience form. AHCA will need this information to continue to assess the multi-HIPPS code claim impacts. If you have questions, suggestions or concerns, please contact

ICD-10 training
Understanding ICD-10 coding is the foundational skill that is necessary to successful implementation. AHCA offers ICD-10 training course developed specifically for PDPM.

Top-Line report
AHCA members can access their facility’s personal LTC Trend Tracker Top-Line PDPM report here. This report is a snapshot of previous coding practices for ICD-Coding on Minimum Data Set (MDS) assessments. For questions on this report, AHCA has developed an FAQ document here.

Available ahcancalED resources
While many of the AHCA PDPM resources are available to all members, some are available only to participants of the PDPM Academy. The PDPM Resource Center for all members is available here, while resources for AHCA PDPM Academy registrants are available here.

AHCA PDPM resource navigators can help you find existing AHCA resources, such as those offered on ahcancalED. AHCA PDPM resource navigators can be reached by email at or at 202-842-4444.

For IHCA’s latest PDPM resources, visit, click on Member Resources > Reimbursement > Skilled Nursing Facilities.