On paper, the Patient-Driven Payment Model (PDPM) will only affect one pillar of the payment equation for skilled nursing facilities. But as players start to unpack the coming rule changes, PDPM’s reach begins to extend far beyond Medicare. Medicare Advantage and Medicaid frequently base rate calculations on the existing Medicare structure, a pair of experts […]
The 4th episode of our podcast, Rethink, is now available! By making patient condition and characteristics the driver of reimbursement — instead of the number of therapy minutes provided to a resident — the Patient-Driven Payment Model coming in October has changed the game for rehabilitation and skilled nursing providers alike. And Aegis Therapies, which is based in […]
In the lead-up to Christmas and New Year’s, the Skilled Nursing News team took a shot at predicting what 2019 will have in store for the industry over the coming 12 months. Now that the ball has dropped and we’re all back at our desks, we thought it was the perfect time to ask a […]
The new Medicare payment model for skilled nursing facilities upends the old system of rehabilitation minutes driving reimbursement. With the Patient-Driven Payment Model (PDPM) scheduled for implementation on Oct. 1, 2019 by the Centers for Medicare & Medicaid Services (CMS), SNFs and therapy providers alike are scrambling to catch up and prepare. In this changing landscape, […]
The new skilled nursing payment system set to take effect in October of next year includes a 25% cap on group and concurrent therapy services, a limit the Centers for Medicare & Medicaid Services (CMS) argued is needed to ensure patients receive the therapy best suited to their needs and goals. That limit, enshrined in […]
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