SNF PDPM Calculator

calculate HIPPS code and estimated payment based on the SNF Patient-Driven Payment Model

Use this calculator to find a HIPPS code and estimated payment based on the SNF(Skilled Nursing Facility) PDPM (Patient-Driven Payment Model).

Please note that this tool does not contain all the questions that should be asked and documented; but instead only the questions that are required specifically for HIPPS code calculation are present.

Use this calculator to guide you step-by-step through gathering the data necessary to determine a HIPPS code and estimated payment based on the Skilled Nursing Facility PDPM (Patient-Driven Payment Model).

Access to this feature is available in the following products:
  • Payment Groupers & Calculators

A non-interactive preview of this tool is shown below.

CBSA
Length of Stay
days
Claim Data

  Section A - Identification Information  
  Section B - Hearing, Speech, and Vision  
  Section C - Cognitive Patterns  
  Section D - Mood  
  Section E - Behavior  
  Section GG - Functional Abilities and Goals  
  Section H - Bladder and Bowel  
  Section I - Active Diagnoses  
  Section J - Health Conditions  
  Section K - Swallowing/Nutritional Status  
  Section M - Skin Conditions  
  Section N - Medications  
  Section O - Special Treatments, Procedures, and Programs  

Use this calculator to guide you step-by-step through gathering the data necessary to determine a HIPPS code and estimated payment based on the Skilled Nursing Facility PDPM (Patient-Driven Payment Model).

Access to this feature is available in the following products:
  • Payment Groupers & Calculators

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