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Risks Associated with PDPM Payment Models

Cheat Sheet and Contract Considerations:   By now you know that the goal with PDPM is to tie reimbursement to residents’ needs, and thereby disconnect the link between therapy hours and financial gain, which even until recently was getting therapy providers into...

3 Things to Do NOW to Get Ahead of PDPM

  As skilled nursing providers prepare for PDPM (which will take effect 10/1/19), what key initiatives should they undertake now to ensure an efficient transition?   1. UNDERSTAND THE FINANCIAL IMPLICATIONS   Don’t just rely on CMS projections. Do your own...

Prepare for PDPM PDQ!

Sweeping changes are coming to SNF payments. Are you ready?   When RCS-1 was proposed to replace PPS RUG-IV in 2017, we all doubted that it would be implemented on October 1, 2018.  To no one’s surprise, the new payment system has been delayed. With PDPM (the...