PDPM, Occupational Therapy & SNF Questions Answered!

PDPM, Occupational Therapy & SNF Questions Answered!

The Patient Driven Payment Model (PDPM) for occupational therapy practitioners in SNFs is a hot topic these days. I get questions all the time asking, “What does PDPM mean for therapy?” and “What is PDPM’s impact on therapy services?” I have the privilege of listening to your stories on how this change of payment systems has impacted services provided to our patients and what it’s done to your job. So I had to do something…

I was fortunate to be able to get some of your questions answered by Sabrena McCarley MBA-SL, OTR/L, CLIPP, RAC-CT, QCP, who not only presents some of the  webinars for AOTA on PDPM, but eat, breathes and sleeps PDPM because of her positions as the Director of Quality, RehabCare, a Board Member at Large of NARA (National Association of Rehab Providers and Agencies), a Medical Advisory Panel Member for the Living In Place Institute and an AOTPAC Ambassador for the AOTA.

She was able to answer those burning questions, cleared up some misconceptions, validated the challenges we are facing and provided some concrete examples on what we can do as occupational therapy professionals to help us maintain our professionalism, ethics and feel empowered through these changes.

In addition, with the changes, many facilities are increasing group therapy sessions and many of you are looking for group therapy ideas. We have TONS in the OT Flourish Membership for both Gold and Green Level Members.  We even explain how to justify how working in a group can still target those performance components needed for our patient’s to achieve their goals.


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→ 3 Key Takeaways from the Episode


Q & A about PDPM & Occupational Therapy in SNFs as well as a OTFlourish.com #OTtreatmentideas #OT #SNFOT

  1. PDPM is working on transitioning from volume based therapy to value based therapy.
  2. Good evaluations are crucial for painting the picture of the patient to maximize reimbursement and patient benefits.
  3. ICD-10 diagnosis coding is imperative for determining the patient’s per diem rate.

Resources from the Show:

FAQs on PDPM for practitioners to easily access in order to understand what PDPM is and to “arm” themselves with the regulations and advocating for occupational therapy when speaking with their employer:  https://www.cms.gov/medicare/medicare-fee-for-service-payment/snfpps/pdpm.html

Occupational Therapy Goal Writing, Objective Measures + Goals Bank (for adults!) Ebook

SOAP Note And Documentation Templates & Examples

People are searching for group treatment ideas, so some resources include:

  1. I created a list of some group therapy ideas and ways to work on components while still focusing on the patient’s goals
  2. You can become a OT Flourish Member with tons of group ideas and brainstorming how to make groups effective, client centered and (dare I say it?!?) FUN and
  3. I also share group ideas from time to time on Instagram, like this one below, so feel free to follow me for more:


View this post on Instagram


A post shared by Mandy {Seniors Flourish} (@seniorsflourish) on

Q & A about PDPM & Occupational Therapy in SNFs as well as a FREE Group Therapy Idea PDF | OTFlourish.com #OTtreatmentideas #OT #SNFOT

Thank You For Listening

I really appreciate you choosing to listen to and supporting the OT Flourish podcast. If you enjoyed today’s show, please share it and taking a minute to leave an honest review and rating for the show in iTunes. It really helps in reaching fellow OT practitioners, students and those curious about the OT profession.

Finally, don’t forget to subscribe to the podcast in iTunes to make sure that you never miss an episode!

Wanting MORE OT Resources?

Not feeling confident working with older adults in your OT practice? If you are new to working in SNF or Home Health, we are here to level up your practice! Join the OT Flourish Membership today! | OTflourish.com


5 thoughts on “PDPM, Occupational Therapy & SNF Questions Answered!”

    1. Mandy Chamberlain MOTR/L

      Hi Sandra – All the links for the episode are above. Are you looking for something additionally? I am happy to help 🙂

  1. Hi Mandy,
    I listened to your Q&A about PDPM. Thank you. I really hope this all shakes out and results in better rehab experiences and improved outcomes for the patients. I hope someone creative figures out how OT and COTA jobs can be reliable income instead of a handful of jobs with random hours, various locations, and multiple settings.

    1. Mandy Chamberlain MOTR/L

      I completely agree Robin! I do think sometimes it takes a little time to iron things out for facilities, but I am hoping it irons out in our favor and the quality of care for our patients.

  2. Pingback: Occupationaltherapy.com Review & Promo: SENIORS13 | Seniors Flourish

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