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.

The FY 2021 release of the SNF PDPM Caluclator has been delayed. This tool will continue to show FY 2020 data until further notice. Click here to see the current status.
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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