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ACCURACY OF DOCUMENTATION & CODING UNDER PDPM

How do we tell each patient’s comprehensive clinical story? An important goal of PDPM is to boost payment accuracy for the services skilled nursing facilities provide. To accomplish this, SNF teams in turn must also maximize the accuracy & timeliness of the...

10 Questions to Assess Your Readiness for PDPM

This post ran in the June 14, 2019 edition of LeadingAge Michigan’s The Latest Wrinkle. Most LeadingAge members are now tired of hearing about PDPM, but the time for implementation is fast approaching. Like many other changes to our major systems, preparation is key....

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...