‘Opportunistic’ Nursing Homes That Gamed RUG-IV Now Upcoding in PDPM, Study Finds

A newly released study casts doubt on whether the shift to Medicare Patient Driven Payment Model (PDPM) succeeded in the goal of curbing so-called “upcoding” practices among nursing homes. Conducted by researchers from the University of Rochester and the University of Texas at Austin, the analysis spans seven years and found patterns of exploitation that […]