CMI Comeback: A CEO’s Playbook to PDPM Medicaid - Webinar
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Pennsylvania’s transition to PDPM Medicaid has fundamentally changed how skilled nursing facilities are reimbursed—shifting the focus from therapy minutes to documented clinical complexity, particularly within Nursing. Yet many organizations are experiencing declining Case Mix Index (CMI) and compressed Medicaid rates—not due to lower acuity, but because resident complexity is not being fully captured in the clinical record.
This session provides a practical, Pennsylvania-specific playbook to help leaders stabilize and strengthen reimbursement while maintaining audit readiness—without adding burden to frontline staff. Participants will learn how to align clinical, operational, and documentation practices to accurately reflect resident acuity under PDPM Medicaid.
Key strategies include engaging physicians and specialists to validate active diagnoses, improving ICD-10 specificity, and embedding efficient documentation workflows within the EMR. The session will also highlight how structured communication practices—such as focused morning meetings—can ensure critical clinical indicators are captured within required timeframes.
Grounded in real-world results, these approaches have helped organizations improve CMI, reduce missed documentation opportunities, and maintain survey readiness through stronger interdisciplinary collaboration. Attendees will leave with actionable strategies to protect reimbursement, enhance documentation accuracy, and support high-quality care for complex residents.CEU Info
This program has been submitted but not yet approved for Continuing Education for 1.0 total participation hours by NAB/NCERS.
This program qualifies for Continuing Education 1.2 total clocked hours from the CPA (State Board of Accountancy). LeadingAge PA is registered with the Pennsylvania State Board of Accountancy, Program Sponsor #PX000987L.
To receive continuing education credit for LeadingAge PA-sponsored webinars, attendees must register under their name, participate through the link supplied after registering and complete the evaluation after the webinar.
Registration Instructions
We are pleased to offer this webinar at no charge to our members. Non-member rate is $80.
