CMS finalized a new case-mix classification model
The Patient Driven Payment Model (PDPM) was implemented for Skilled Nursing Facilities effective October 1, 2019. This new model was major shift in the previous system of reimbursement presented by Medicare Part A.
Skilled Nursing Facilities admitted they were not as prepared as they would have liked and was unsure of its true impact.
One MDS Nurse Cynthia Simon of Infinity Healthcare in Illinois, states “Although i never felt fully prepared for PDPM, our team has embraced the impact and quickly implemented necessary changes to successfully combat any financial deficits”
PDPM Frequently Asked Questions
This section contains frequently asked questions (FAQs) related to PDPM policy and implementation.
- PDPM FAQs updated 4-17-19
PDPM Training Presentation
This section includes a training presentation which can be used to educate providers and other stakeholders on PDPM policy and implementation.
This section includes additional resources relevant to PDPM implementation, including various coding crosswalks and classification logic.
- PDPM Classification Walkthrough updated 4-4-19
- PDPM GROUPER Logic (SAS) updated 4-4-19
- PDPM ICD-10 Mappings updated 4-4-19
PDPM Education & Training Click Here
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