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PDPM Cognitive Level Still Confuses Some SNFs

By Caralyn Davis, Staff Writer - December 18, 2019

PDPM Cognitive Level Still Confuses Some SNFs

The Patient-Driven Payment Model (PDPM) cognitive level plays a key role in determining a Medicare Part A resident’s speech-language pathology (SLP) case-mix component. The Brief Interview for Mental Status (BIMS), coded in MDS items C0200 – C0500, is its primary driver. If the BIMS cannot be completed, the items C0700 (Short-term Memory OK) and C1000 (Cognitive Skills for Daily Decision-Making) from the Staff Assessment for Mental Status combine with items B0100 (Comatose) and B0700 (Makes Self Understood) to determine the PDPM cognitive level. So it’s no surprise that questions about the PDPM cognitive level came fast and furious at the December 12 Skilled Nursing Facility Long-term Care Open Door Forum (ODF).


Here are the primary issues raised by callers:


If neither the BIMS nor the Staff Assessment is completed, what happens with regard to obtaining a PDPM cognitive level?